Fukino S, Fukata T, Okano K, Hamasaki T, Inoue A, Yukawa K, Kamba S
Department of Surgery, Tottori Prefectural Kosei Hospital, Kurayoshi, Japan.
Nihon Geka Gakkai Zasshi. 1990 Nov;91(11):1752-5.
A case of primary malignant fibrous histiocytoma (MFH) of the cecum was reported. Patient was a 52-year-old female, and complained of right lower abdominal pain. The barium enema and abdominal computed tomography demonstrated a localized mass involving the entire circumference of the cecum. Right hemicolectomy was performed and the resected specimen revealed a tumor of 8 X 6 X 5 cm in size extending to the entire circumference of the cecum. The histopathological examination revealed a storiform pattern, which was diagnostic of MHF. The tumor proliferated chiefly in the subserous tissue and partially infiltrated the tunica muscularis propria. The postoperative course was uneventful and she showed no sign of recurrence at 15 months after operation. This is the ninth reported case of primary MFH in digestive organs.
报告了一例盲肠原发性恶性纤维组织细胞瘤(MFH)。患者为一名52岁女性,主诉右下腹痛。钡灌肠和腹部计算机断层扫描显示盲肠全周有一个局限性肿块。行右半结肠切除术,切除标本显示肿瘤大小为8×6×5cm,累及盲肠全周。组织病理学检查显示为席纹状结构,这是MFH的诊断依据。肿瘤主要在浆膜下组织增殖,部分浸润固有肌层。术后病程顺利,术后15个月无复发迹象。这是消化系统原发性MFH报告的第九例病例。