Spontaneous isolated mesenteric fibromatosis: Sonographic and computed tomographic findings with pathologic correlation

Sheung Fat Ko, Jui Wei Lin, Shu Hang Ng, Chung Cheng Huang, Yung Liang Wan, Hsuan Ying Huang, Shyr Ming Sheen-Chen

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Eight cases of spontaneous isolated mesenteric fibromatosis (SIMF) were retrospectively reviewed. Clinical presentations included palpable abdominal mass (n = 6), abdominal pain (n = 4), gastrointestinal bleeding (n = 2) and acute abdomen (n = 1). On sonography and computed tomography (CT), eight SIMFs (size range 3 to 24 cm, mean 14.8 cm) were categorized into four morphologic patterns: well-defined inhomogeneous, well-defined homogeneous, well-defined cystic or infiltrative mesenteric mass patterns. Well-defined inhomogeneous SIMF (n = 3) was correlated with the histopathologic finding of bundles of fibroblasts with unevenly intermingled hyaline and/or myxoid degeneration areas, whereas well-defined homogeneous SIMF (n = 2) showed scarce degenerative changes. Well-defined cystic SIMF (n = 2) were ascribed to the presence of large areas of myxoid and cystic degenerations. One SIMF presented as an infiltrative mesenteric mass and the patient died 10 months after diagnosis. Both cases of cystic SIMFs showed tumor recurrences and one patient died after 84 months. The other five patients were cured by radical tumor resection. In summary, sonography, similar to CT, is also useful for evaluating SIMF with protean morphologic features, ascribing to the underlying histopathologic changes with varied degrees of hyaline, myxoid or cystic degenerations. (E-mail: sfatko@adm.cgmh.org.tw).

Original languageEnglish
Pages (from-to)1141-1149
Number of pages9
JournalUltrasound in Medicine and Biology
Volume32
Issue number8
DOIs
Publication statusPublished - Aug 1 2006
Externally publishedYes

Fingerprint

Fibroma
degeneration
tumors
tomography
bleeding
abdomen
Hyalin
pain
fibroblasts
bundles
Ultrasonography
Tomography
Acute Abdomen
Abdominal Pain
Neoplasms
Fibroblasts
Hemorrhage
Recurrence

Keywords

  • Computed tomography
  • Fibromatosis
  • Mesentery
  • Neoplasms
  • Sonography

ASJC Scopus subject areas

  • Biophysics
  • Radiological and Ultrasound Technology
  • Acoustics and Ultrasonics

Cite this

Spontaneous isolated mesenteric fibromatosis : Sonographic and computed tomographic findings with pathologic correlation. / Ko, Sheung Fat; Lin, Jui Wei; Ng, Shu Hang; Huang, Chung Cheng; Wan, Yung Liang; Huang, Hsuan Ying; Sheen-Chen, Shyr Ming.

In: Ultrasound in Medicine and Biology, Vol. 32, No. 8, 01.08.2006, p. 1141-1149.

Research output: Contribution to journalArticle

Ko, Sheung Fat ; Lin, Jui Wei ; Ng, Shu Hang ; Huang, Chung Cheng ; Wan, Yung Liang ; Huang, Hsuan Ying ; Sheen-Chen, Shyr Ming. / Spontaneous isolated mesenteric fibromatosis : Sonographic and computed tomographic findings with pathologic correlation. In: Ultrasound in Medicine and Biology. 2006 ; Vol. 32, No. 8. pp. 1141-1149.
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