Lee Seok Youn, Kwon Jung Nam, Kim Keun Young
Department of Surgery, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Korea.
Department of Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan, Korea.
Ann Coloproctol. 2014 Dec;30(6):280-4. doi: 10.3393/ac.2014.30.6.280. Epub 2014 Dec 31.
A fibrosarcoma is a malignant mesenchymal tumor derived from fibrous connective tissue. It usually develops in the deep soft tissues of the extremities, as well as the trunk, head, and neck. In extremely rare cases, a fibrosarcoma may occur in the gastrointestinal tract. Most cases of fibrosarcoma in the gastrointestinal tract have been observed in the pediatric age group while only a few cases have been reported in adults. A 61-year-old male presented with pain in the entire abdominal region. Chest radiography showed free air in the subphrenic space. After an emergency operation, we found a solid mass around the transverse colon and performed a segmental resection with a lymphatic dissection of the transverse colon, including the mass. A pathologic examination showed a fibrosarcoma with a perforation. There was no perioperative complication. The patient was discharged on postoperative day 11 and had follow-ups for 1 year without any recurrence.
纤维肉瘤是一种源自纤维结缔组织的恶性间叶性肿瘤。它通常发生于四肢的深部软组织，以及躯干、头部和颈部。在极其罕见的情况下，纤维肉瘤可能发生于胃肠道。胃肠道纤维肉瘤的大多数病例见于儿童年龄组，而成年人中仅有少数病例报道。一名61岁男性出现全腹部疼痛。胸部X线检查显示膈下间隙有游离气体。急诊手术后，我们在横结肠周围发现一个实性肿块，并对横结肠进行了包括肿块在内的节段性切除及淋巴结清扫。病理检查显示为伴有穿孔的纤维肉瘤。围手术期无并发症。患者术后第11天出院，随访1年无任何复发。
