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Korean Journal of Clinical Oncology > Volume 5(2); 2009 > Article
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Korean J Clin Oncol. 2009;5(2): 69-73.         doi: https://doi.org/10.14216/kjco.09016
Low-Grade Fibromyxoid Sarcoma from the Splenic Flexure of Colon
Yun Jung Kim, Kwang Hee Kim, Ki Hoon Kim, Jeong Ik Park, Jin Yong Shin, Chang Soo Choi, Young Kil Choi
Department of Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
비장 굽이부에서 발생한 저등급의 섬유점액성 육종
김윤정, 김광희, 김기훈, 박정익, 신진용, 최창수, 최영길
인제대학교 의과대학 부산백병원 외과학교실
Corresponding Author: Young Kil Choi ,Tel: +82-51-890-6350, Fax: +82-51-898-9427, Email: gscyk@inje.ac.kr
Received: November 18, 2009;  Accepted: December 17, 2009.
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ABSTRACT
Low-grade fibromyxoid sarcoma is a slowly growing soft tissue tumor that was a histological benignacy but clinical malignancy. And it is rarely originated from the intraabdominal oragn. A 56-year-old man underwent the radical subtotal gastrectomy for gastric cancer 32 month ago and the surgical staging was Ia. For 24 month after the operation, the examination of recurrent cancer was non-specific finding. At 30 month after the operation, a 10×6 cm sized round soft tissue tumor at LUQ area was identified by abdominopelvic CT. The tumor was turned out a spindle cell tumor by USguided biopsy and extrinsic compressing colonic mass by colonoscopy. The tumor was attached to Lt diaphragm and the splenic flexttacof colon. Hacunderwent wedge resction of Lt diaphragm and coloectomy for the tumor. The biopsy reported to the low-grade fibromyxoid sarcoma from the splenic flexttacof colon. After the operation, the PET CT reported to focal hypermetabolic lesion at colonocolostomy site and the result was regarded as inflammatory lesion rather than residual tumor. Adjuvant extrabeam radiotherapy (5960 cGy) was carried out for the reduction of local recurrence. And now he is attending to hospital regularly.
Keywords: Low-grade fibromyxoid sarcoma
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