Related Experiment Video
Updated: Mar 15, 2026
08:57
Author Spotlight: Genetically Engineered Mouse Models and Pathological Characterization of Neurofibromatosis Type 1 Associated Tumors
Published on: May 17, 2024
2.7K
Undifferentiated Pleomorphic Sarcoma Presenting as Abdominal Pain with a Pulsatile Mass
Arash Moradi1, Abolfazl Afsharfard1, Khashayar Atqiaee2
1Department of General and Vascular Surgery, Shohada-e-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Case Reports in Surgery
|August 27, 2016
Summary
Malignant fibrous histiocytoma (MFH), a rare retroperitoneal tumor, can mimic other conditions. Early consideration of sarcoma is crucial for timely diagnosis and complete surgical resection.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Malignant fibrous histiocytoma (MFH) is a rare tumor typically affecting adults aged 50-70, most commonly in the lower extremities.
- MFH in the retroperitoneum often presents late and can be misdiagnosed as more common conditions.
- Retroperitoneal masses require a high index of suspicion for sarcomas.
Purpose of the Study:
- To report a case of retroperitoneal malignant fibrous histiocytoma.
- To highlight diagnostic challenges and emphasize the importance of considering sarcoma in retroperitoneal masses.
Main Methods:
- Case report of a 60-year-old male presenting with periumbilical abdominal pain.
- Surgical exploration revealed a retroperitoneal mass initially suspected to be an aortic aneurysm.
- Histopathological examination confirmed malignant fibrous histiocytoma.
Main Results:
- The patient presented with symptoms mimicking a symptomatic aortic aneurysm.
- A retroperitoneal mass was discovered during surgical intervention.
- Diagnosis of malignant fibrous histiocytoma was established post-operatively.
Conclusions:
- Retroperitoneal masses can present insidiously and be mistaken for other pathologies.
- Malignant sarcoma, including MFH, should be considered in the differential diagnosis of retroperitoneal masses.
- Complete surgical resection with tumor-free margins is essential for managing malignant sarcomas.
More Related Videos
Related Concept Videos
01:23Assessment of the Abdomen III: Palpation
4.5K
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
4.5K
01:22Appendicitis-I: Introduction
3.2K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
3.2K
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
746
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
746
01:25Assessment of the Rectum and Anus
1.6K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.6K
01:25Assessment of the Abdomen I: Inspection and Auscultation
2.8K
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
2.8K
02:23Abnormal Proliferation
5.4K
Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
5.4K