Santos Mariana Nogueira, Tavares Amelia Brandao, Viveiros Fernando Arruda, Baldaia Helena
General Surgery, Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal.
Anatomical Pathology, LAP-Laboratório Anatomia Patológica-Unilabs, Porto, Portugal.
BMJ Case Rep. 2018 Oct 25;2018:bcr-2018-227238. doi: 10.1136/bcr-2018-227238.
Solitary fibrous tumour (SFT), previously denominated as haemangiopericytoma, is a rare, spindle cell neoplasm that was first described in the thoracic pleura. It is now known that this tumour may develop from almost any anatomic location. We report a case of SFT, in a 65-year-old man, which was located in the muscularis propria layer of the caecum with involvement of the serosa and the ileocecal appendix, location never described in the literature, and with an uncommon clinical presentation of hematochezia. A radical right hemicolectomy was performed, and the patient was asymptomatic without evidence of metastasis or relapse after 6 months of follow-up.
孤立性纤维瘤(SFT),以前被称为血管外皮细胞瘤,是一种罕见的梭形细胞肿瘤,最初在胸膜中被描述。现在已知这种肿瘤几乎可以在任何解剖位置发生。我们报告一例65岁男性的SFT,肿瘤位于盲肠固有肌层,累及浆膜和回盲部阑尾,该部位在文献中从未有过描述,且临床表现为便血较为罕见。患者接受了根治性右半结肠切除术,随访6个月后无症状,无转移或复发迹象。