Ibrahim Zouhry, Bahi Achraf, Nizar Ghannou, El Mustapha Halim
National Institute of Oncology, Av.Allal Al Fassi Rabat, B.P. 10100, Morocco.
Department of Visceral Surgery, HMIMV, Av.Abderrahim Bouabid Rabat, B.P. 10040, Morocco.
J Surg Case Rep. 2025 Mar 26;2025(3):rjaf158. doi: 10.1093/jscr/rjaf158. eCollection 2025 Mar.
We report an observation of a calcifying fibrous tumor discovered through imaging in a 28-year-old male presenting with chronic abdominal pain associated with diarrhea. The abdominal computed tomography scan revealed an intraperitoneal mass located in the right iliac fossa, containing calcifications and measuring 37 × 49 mm; biopsies were non-contributory. A diagnosis of a suspected gastrointestinal stromal tumor was made, and an ileocecal resection was performed. Histological examination confirmed the diagnosis of a calcifying fibrous tumor. The patient was doing well without recurrence six months post-surgery. Only a few observations of calcifying fibrous tumors have been reported in the literature. These benign tumors are often discovered incidentally and have fairly characteristic clinical and pathological features that allow them to be distinguished from stromal tumors.
我们报告了一例通过影像学检查发现的钙化性纤维瘤病例,患者为一名28岁男性,伴有与腹泻相关的慢性腹痛。腹部计算机断层扫描显示,在右髂窝处有一个位于腹膜内的肿块,含有钙化,大小为37×49毫米;活检未提供有价值的信息。初步诊断为疑似胃肠道间质瘤,并进行了回盲部切除术。组织学检查确诊为钙化性纤维瘤。术后六个月,患者恢复良好,无复发迹象。文献中仅报道了少数钙化性纤维瘤病例。这些良性肿瘤通常是偶然发现的,具有相当典型的临床和病理特征,可与间质瘤相鉴别。