Wang Yzu-Jen, Wen Shi-Chi, Chien Shang-Tao, Sheu Jin-Wen, Hsuea Chao-Wen, Feng Nan-Hsiung
Division of Gastroenterology, Department of Medicine, Kaohsiung Military General Hospital, Kaohsiung, Taiwan, R.O.C.
J Chin Med Assoc. 2006 Oct;69(10):492-5. doi: 10.1016/S1726-4901(09)70315-6.
We report a case of primary intra-abdominal synovial sarcoma of the omentum in a 66-year-old man hospitalized for intermittent abdominal fullness for 1-2 months and tenesmus for 2 weeks. The patient had a palpable mass that was solid, hard and with well-defined thickness within his abdomen. A huge heterogeneous mass lesion over the middle abdomen that started from S2, S3 of the liver to the transverse colon was shown on abdominal computed tomography. The major cell types of the tissue mass were confirmed to be spindle and epithelial cells, which was consistent with biphasic synovial sarcoma according to pathologic and immunohistochemical findings.
我们报告一例66岁男性原发性大网膜腹腔内滑膜肉瘤病例，该患者因间歇性腹部胀满1 - 2个月及里急后重2周入院。患者腹部可触及一实性、坚硬且厚度边界清晰的肿块。腹部计算机断层扫描显示，中腹部有一巨大的异质性肿块病变，起自肝脏的S2、S3段直至横结肠。根据病理和免疫组化结果，组织肿块的主要细胞类型经确认是梭形细胞和上皮细胞，符合双相滑膜肉瘤。
