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

研究成果: 雜誌貢獻文章同行評審

10 引文 斯高帕斯(Scopus)

摘要

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).

原文英語
頁(從 - 到)1141-1149
頁數9
期刊Ultrasound in Medicine and Biology
32
發行號8
DOIs
出版狀態已發佈 - 八月 1 2006
對外發佈

ASJC Scopus subject areas

  • 生物物理學
  • 放射與超音波技術
  • 聲學與超音波

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