Metastasized Malignant Fibrous Histiocytoma as a Cause of Gastrointestinal Tract Haemorrhage

Blaauwwiekel, EE; Koopal, Sietze A.; Kreeftenberg, Herman G.

doi:10.3109/00365529709028159

Cited by 6 publications

(4 citation statements)

References 2 publications

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“…However, in the present case, the subhepatic peritoneal MFH not only experienced intratumoral hemorrhage but also developed tumor rupture with extra-tumoral bleeding into the peritoneal cavity, mimicking a ruptured hepatocellular carcinoma. Three previous cases of MFH causing extra-tumoral massive bleeding had been reported, all involving metastatic MFH lesions at the alimentary tract causing gastrointestinal bleeding [9][10][11] . A case of post-irradiation induced dermal MFH with spontaneous tumor hemorrhage, causing massive skin bleeding had also been reported [12] .…”

Section: Discussionmentioning

confidence: 99%

Malignant fibrous histiocytoma presenting as hemoperitoneum mimicking hepatocellular carcinoma rupture

Chen

Jeng

et al. 2007

WJG

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Malignant fibrous histiocytoma (MFH) is a pleomorphic mesenchynal sarcoma. It is uncommonly arises primarily from the intra-peritoneal cavity. Primary peritoneal MFH with tumor bleeding and rupture is rare. We describe the imaging features of a 70-year-old patient presenting with ruptured hemorrhagic peritoneal MFH at subhepatic area, accompanied by massive hemoperitoneum, mimicking a ruptured pedunculated hepatocellular carcinoma. Computed tomography (CT) revealed a large heterogeneous enhanced subhepatic mass with adjacent liver, gallbladder and colon invasion. Tumor hemorrhage and rupture complicated with peritoneal seeding and massive bloody ascites were also detected. Angiography showed a hypervascular tumor fed by enlarged right hepatic arteries, cystic artery and omental branches of gastroepiploic artery. The patient underwent laparotomy for tumor resection, but the tumor recurred one month after operation. To our knowledge, the CT appearance of ruptured intraperitoneal MFH complicated by hemoperitoneum has not been previously described.

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Section: Discussionmentioning

confidence: 99%

Malignant fibrous histiocytoma presenting as hemoperitoneum mimicking hepatocellular carcinoma rupture

Chen

Jeng

et al. 2007

WJG

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“…9,10 The most of all cases of abdominal MFH with extra-tumoral bleeding were metastatic lesions involved alimentary tract causing gastrointestinal bleeding. [11][12][13] Recently, there was a report of subhepatic peritoneal MFH not only experienced intra-tumoral hemorrhage but also developed tumor rupture with extra-tumoral bleeding into the peritoneal cavity, mimicking ruptured hepatocellular carcinoma. 14 Also, there were four reports which presented with hemoperitoneum by primary solid omental tumor, [15][16][17][18] but primary omental MFH complicated with hemoperitoneum has not been reported.…”

Section: Discussionmentioning

confidence: 99%

Malignant Fibrous Histiocytoma Arising from the Omentum Presenting as Hemoperitoneum

Kweon¹,

Choi²,

Im³

et al. 2010

Gut Liver

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Malignant fibrous histiocytoma (MFH) is an uncommon soft-tissue sarcoma that occurs primarily in the extremities and rarely involves the retroperitoneum and abdomen. A 63-year-old man was admitted to the emergency room because of epigastric pain. Computed tomography revealed a large heterogeneous enhanced mass originating from the omentum with hemoperitoneum. The patient underwent laparoscopic omental mass excision and hematoma evacuation. Histological examination of the resected tumor revealed MFH. This case was therefore omental MFH presenting with hemoperitoneum.

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“…Actually, however, surgical resections of metastatic tumors may improve quality of life and manage complications related to metastasis although they did not prove the survival benefit. The patient in this case received inevitable yet aggressive local treatments for rare complications caused by the metastatic tumors in the small intestine, [5][6][7] and in the bone. He also received radiotherapy to chest to prevent a metastatic tumor from invading into aorta.…”

Section: Discussionmentioning

confidence: 99%

Peritoneal Dissemination from Malignant Fibrous Histiocytoma of the Buttock: Unusual Metastases from a Rare Tumor

Yoo

Lee²,

Song³

et al. 2008

Gut Liver

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We report a case of malignant fibrous histiocytoma (MFH) of the right buttock with multiple metastases to the lung, bone, and small intestine. He received resection and end-to-end anastomosis of the jejunum for the jejunal metastatic tumor, and mass excision of the metastatic tumor of the left femur followed by closed reduction and internal fixation and palliative radiotherapy. In addition, he received palliative radiotherapy to the metastatic pulmonary tumor with suspicious invasion into the thoracic aorta. However, one month after the completion of the aggressive local treatments, metastatic tumors recurred in the abdominal cavity, an extremely unusual site, resulting in peritoneal dissemination. He died of progressive disease 5 months after the initial diagnosis. (Gut and Liver 2008;2:213-215)

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Metastasized Malignant Fibrous Histiocytoma as a Cause of Gastrointestinal Tract Haemorrhage

Cited by 6 publications

References 2 publications

Malignant fibrous histiocytoma presenting as hemoperitoneum mimicking hepatocellular carcinoma rupture

Malignant fibrous histiocytoma presenting as hemoperitoneum mimicking hepatocellular carcinoma rupture

Malignant Fibrous Histiocytoma Arising from the Omentum Presenting as Hemoperitoneum

Peritoneal Dissemination from Malignant Fibrous Histiocytoma of the Buttock: Unusual Metastases from a Rare Tumor

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