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Mesenteric Myxofibrosarcoma: A Case Report.

Kunihiro Ozaki1, Fumihiko Fujita2, Fumiki Koga1

  • 1Department of Surgery, Saiseikai Hita Hospital, Hita, Japan.

Journal of the Anus, Rectum and Colon
|August 4, 2020
PubMed
Summary
This summary is machine-generated.

This study reports a rare case of mesenteric myxofibrosarcoma in an elderly male. Surgical resection with wide margins is recommended for suspected malignant mesenteric tumors.

Keywords:
mesenterymyxofibrosarcomatumor

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Area of Science:

  • Oncology
  • Gastroenterology

Background:

  • Myxofibrosarcoma is a rare soft tissue sarcoma predominantly affecting elderly individuals.
  • Primary mesenteric myxofibrosarcoma is exceptionally uncommon, with this case representing the fourth documented instance.

Observation:

  • A 62-year-old male presented with an abdominal mass, urinary frequency, and abdominal pressure.
  • Imaging studies, including CT and MRI, identified a mesenteric lesion.
  • Preoperative diagnosis suggested a malignant myxoid tumor.

Findings:

  • Histopathological and immunohistochemical analyses confirmed mesenteric myxofibrosarcoma.
  • The patient underwent curative resection with wide margins.
  • Postoperative recovery was uneventful, with no relapse observed over a three-year follow-up period.

Implications:

  • Definitive diagnosis of mesenteric myxofibrosarcoma solely via CT or MRI is challenging.
  • Surgical resection with adequate margins is the optimal management strategy for suspected malignant mesenteric tumors.
  • This case contributes to the limited understanding of mesenteric myxofibrosarcoma presentation and management.