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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