Giant intrapelvic solitary fibrous tumor arising from mesorectum

Soda, Hiroaki; Kainuma, Osamu; Yamamoto, Hiroshi; Nagata, Michio; Takiguchi, Nobuhiro; Ikeda, Atsushi; Cho, Akihiro; Gunji, Hisashi; Miyazaki, Akira; Irei, Satoko; Araki, Atsuko

doi:10.1007/s12328-010-0146-0

Cited by 26 publications

(23 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…REBOA balloon occlusion times were adequately reported in 35 studies [10, 12, 23, 25, 26, 29–34, 36, 38–41, 43–45, 47, 48, 55, 58, 62, 66, 68–71, 82, 83, 97, 101, 104, 105]. Occlusion times within the zones of occlusion were described in 15 studies examining Zone I occlusion times, where 196 patients had a median occlusion time of 58.4 min.…”

Section: Resultsmentioning

confidence: 99%

A systematic review and meta-analysis of the use of resuscitative endovascular balloon occlusion of the aorta in the management of major exsanguination

Burg

Dongen

Morrison

et al. 2018

Eur J Trauma Emerg Surg

132

102

View full text Add to dashboard Cite

BackgroundCirculatory collapse is a leading cause of mortality among traumatic major exsanguination and in ruptured aortic aneurysm patients. Approximately 40% of patients die before hemorrhage control is achieved. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an adjunct designed to sustain the circulation until definitive surgical or endovascular repair. A systematic review was conducted for the current clinical use of REBOA in patients with hemodynamic instability and to discuss its potential role in improving prehospital and in-hospital outcome.MethodsSystematic review and meta-analysis (1900–2017) using MEDLINE, Cochrane, EMBASE, Web of Science and Central and Emcare using the keywords “aortic balloon occlusion”, “aortic balloon tamponade”, “REBOA”, and “Resuscitative Endovascular Balloon Occlusion” in combination with hemorrhage control, hemorrhage, resuscitation, shock, ruptured abdominal or thoracic aorta, endovascular repair, and open repair. Original published studies on human subjects were considered.ResultsA total of 490 studies were identified; 89 met criteria for inclusion. Of the 1436 patients, overall reported mortality was 49.2% (613/1246) with significant differences (p < 0.001) between clinical indications. Hemodynamic shock was evident in 79.3%, values between clinical indications showed significant difference (p < 0.001). REBOA was favored as treatment in trauma patients in terms of mortality. Pooled analysis demonstrated an increase in mean systolic pressure by almost 50 mmHg following REBOA use.ConclusionREBOA has been used in trauma patients and ruptured aortic aneurysm patients with improvement of hemodynamic parameters and outcomes for several decades. Formal, prospective study is warranted to clarify the role of this adjunct in all hemodynamic unstable patients.Electronic supplementary materialThe online version of this article (10.1007/s00068-018-0959-y) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

A systematic review and meta-analysis of the use of resuscitative endovascular balloon occlusion of the aorta in the management of major exsanguination

Burg

Dongen

Morrison

et al. 2018

Eur J Trauma Emerg Surg

132

102

View full text Add to dashboard Cite

show abstract

“…Small case series and retrospective studies have reported using anthracyclines plus ifosfamide, dacarbazine, or a combination of bevacizumab and temozolomide [25][26][27]. Intrapelvic SFTs often rich blood flow from the iliac artery or inferior mesenteric artery so resection of the tumor results in severe bleeding [4,28]. In the present case, we ligated the feeding artery from the right internal artery in the early stage of surgery, so we reduced the amount of bleeding of the tumor.…”

Section: Discussionmentioning

confidence: 70%

A Case of Solitary Fibrous Tumor of the Mesorectum: Usefulness of Immunohistochemical Staining for a Differential Diagnosis from a Gastrointestinal Stromal Tumor

Nagasawa¹,

Tatsuta²,

Ki³

et al. 2017

Journal of Cancer science and Clinical Oncology

View full text Add to dashboard Cite

Extrapleural solitary fibrous tumors (SFT) and gastrointestinal stromal tumors (GISTs) are similar morphologically and on imaging studies. We report a case of a patient with a giant pelvic tumor, which was difficult to be diagnosed. A 71-year-old male presented to our hospital with a complaint of urinary retention. A radiological examination showed a giant pelvic tumor mass, which ventrally compressed the urinary bladder and rectum, and was supplied by vascular flow from the right internal iliac artery. The resected specimen was 15 × 10 cm, elastic soft, and solid pale yellow in color. Because the tumor was histologically composed of spindle-shaped cells and was CD34 positive, cytokeratin negative, epithelial membrane antigens negative and KIT negative, we first thought the tumor was a KIT-negative GIST. However, additional immunohistochemical staining was DOG1-negative but CD99 and bcl-2 positive. Therefore, we finally diagnosed the patient with SFT. In conclusion, we report a rare case of SFT of the mesorectum to emphasize the importance of bearing this entity in mind and to show that immunohistochemical staining is useful for differentiating this type of tumor from other spindle cell neoplasms, particularly GISTs.

show abstract

“…A recent retrospective series demonstrated that 34% of all SFT occur in the abdominopelvic region and that the abdominopelvic cavity is a major primary site for SFT . However, a SFT that arises from the mesentery is unusual, and a SFT from the mesorectum is rarer still—we found only five reports describing such SFT .…”

Section: Discussionmentioning

confidence: 72%

Successful laparoscopic treatment of a giant solitary fibrous tumor of the mesorectum: A case report and literature review

Kawamura

Tani

Kida

et al. 2016

Asian J Endoscop Surgery

View full text Add to dashboard Cite

A solitary fibrous tumor is a ubiquitous mesenchymal fibroblastic tumor that was previously considered limited to the pleural cavity. Here, we report a rare case of a large solitary fibrous tumor of the mesorectum, which was successfully resected laparoscopically. A 56-year-old woman was referred to our hospital for a giant pelvic mass. Pelvic MRI showed a well-circumscribed mass, 12 cm in diameter, with heterogeneous signal intensity on T -weighted images. It was diagnosed as a benign mesorectal tumor of unknown origin. We successfully resected the entire tumor laparoscopically. Histological examination revealed it to be an extrapleural solitary fibrous tumor. For large tumors in the pelvis, the laparoscopic approach is preferable in terms of intraoperative hemorrhage, as long as they do not invade surrounding tissues.

show abstract

Giant intrapelvic solitary fibrous tumor arising from mesorectum

Cited by 26 publications

References 13 publications

A systematic review and meta-analysis of the use of resuscitative endovascular balloon occlusion of the aorta in the management of major exsanguination

A systematic review and meta-analysis of the use of resuscitative endovascular balloon occlusion of the aorta in the management of major exsanguination

A Case of Solitary Fibrous Tumor of the Mesorectum: Usefulness of Immunohistochemical Staining for a Differential Diagnosis from a Gastrointestinal Stromal Tumor

Successful laparoscopic treatment of a giant solitary fibrous tumor of the mesorectum: A case report and literature review

Contact Info

Product

Resources

About