Primary malignant fibrous histiocytoma of the descending colon

Kawashima, Hiroyuki; Ikeue, Sunao; Takahashi, Yasuyuki; Kashiyama, Motoya; Hara, Takashi; Yamazaki, Sayuki; Hirao, Masanori; Okamoto, Ken‐ichi

doi:10.1007/bf02385277

Cited by 10 publications

(6 citation statements)

References 14 publications

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“…One patient with a malignant fibrous histiocytoma of the colon was without evidence of recurrent disease 7 years after surgery and adjuvant chemotherapy. 21 Concerning tumors arising in the small intestine, follow-up data are lacking almost completely (Table 1). Despite the sparse follow-up information, it may be presumed that intestinal malignant fibrous histiocytoma is an aggressive neoplasm that recurs in the majority of patients.…”

Section: Discussionmentioning

confidence: 99%

Malignant Fibrous Histiocytoma of the Ileum at a Site of Previous Surgery: Report of a Case

Froehner¹,

Gaertner²,

Hakenberg³

et al. 2001

Surgery Today

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Sarcomas rarely arise in the intestinum, and leiomyosarcoma represents the majority of cases. With only seven cases reported in the available English literature up to now, malignant fibrous histiocytoma of the small intestine is exceedingly rare. Moreover, follow-up data are almost completely unavailable. We present herein the unique case of a malignant fibrous histiocytoma arising in a postoperatively adherent intestinal loop. To the best of our knowledge, this is the first such case ever to be described. The clinical history and the intraoperative findings suggested that chronic postoperative repair processes might have been a promoting factor in the tumorigenesis of this neoplasm, on the analogy of malignant fibrous histiocytoma arising at different sites. The patient recovered well but 9.5 years after surgical removal, a solitary recurrent tumor developed in the urinary bladder and progressed rapidly, highlighting the need for long-term, possibly life-long, surveillance of patients with this rare type of intestinal cancer.

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Section: Discussionmentioning

confidence: 99%

Malignant Fibrous Histiocytoma of the Ileum at a Site of Previous Surgery: Report of a Case

Froehner¹,

Gaertner²,

Hakenberg³

et al. 2001

Surgery Today

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“…1993 [ 32 ] 50 M Ascending 9.65 × 6.0 × 5.0 Abdominal distention, anorexia Surgery (laparotomy) Chemotherapy No Alive 10 M Huang Z. 1993 [ 33 ] 12 M Ascending 3.5 Abdominal pain Surgery (laparotomy) No No Alive 16 M Makino M. 1994 [ 34 ] 72 M Transverse 7.5 × 5.0 Abdominal pain Surgery (laparotomy) No Yes (peritoneum) Dead 4 M Hiraoka N. 1997 [ 35 ] 64 M Cecum 4 × 5 × 3 Abdominal distention Surgery (laparotomy) Chemotherapy Yes (lymph node) Dead 4 M Kawashima H. 1997 [ 36 ] 50 F Descending 4 × 3.2 Abdominal pain, diarrhea Surgery (laparotomy) No No Alive 84 M Udaka T. 1999 [ 37 ] 47 M Ascending 7 × 5 × 4 Abdominal mass Surgery (laparotomy) ...…”

Section: Discussionmentioning

confidence: 99%

Surgical management of primary undifferentiated pleomorphic sarcoma of the rectum: a case report and review of the literature

et al. 2022

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Background Undifferentiated pleomorphic sarcoma (UPS) is a malignant soft tissue tumor that has been reclassified from malignant fibrous histiocytoma with the development of the pathological diagnosis. It principally occurs in the extremities but rarely occurs in the rectum. We herein report a rare case of UPS arising in the rectum. Case presentation A 85-year-old woman was referred to our hospital with a complaint of anal pain, which had persisted for several months. Computed tomography (CT) showed a 53 × 58 × 75 mm mass on the left side of the rectum. Colonoscopy revealed a submucosal elevation in the rectum without any exposure of the tumor to the surface. Contrast-enhanced CT and magnetic resonance imaging revealed an 80-mm mass that originated in the rectal muscular propria, and we suspected a gastrointestinal stromal tumor. No lymph node metastasis or distant metastasis was observed. We performed a laparoscopic Hartmann’s operation. Intraoperatively, severe adhesion around the tumor caused tumor injury and right ureteral dissection. Thus, laparoscopic right ureteral anastomosis and ureteral stenting were additionally performed. The operation time was 6 h and 3 min, and the estimated blood loss was small. The patient was discharged without complications 25 days after surgery. A pathological examination showed that the tumor was composed of highly heterogeneous cells with no specific differentiation traits, leading to a diagnosis of UPS. Contrast-enhanced CT performed 2 months after surgery showed bilateral pelvic lymph node enlargement, which indicated recurrence. Considering the patient’s age, we performed radiotherapy (50 Gy/25 Fr targeting the pelvic region). At present, 16 months have passed since the completion of radiotherapy. Contrast-enhanced CT shows that the recurrent lymph nodes have disappeared, and no new distant metastasis has been observed. Conclusions We reported a case of UPS arising in the rectum. The surgical procedure and indication of preoperative therapy should be carefully selected because complete removal of the tumor is desirable in UPS.

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“…In the present case, radiation therapy was not performed because the resected margin was negative. Although the role of adjuvant chemotherapy in colorectal MFH/UPS is controversial, 3 patients treated by adjuvant chemotherapy survived for >10 months of follow-up (6,12,15). Inflammatory MFH/UPS has been reported to be aggressive with an ultimately fatal course, but four cases with either inoperable or recurrent inflammatory MFH have proven responsive to chemotherapy (34).…”

Section: Discussionmentioning

confidence: 99%

G-CSF-producing Undifferentiated Pleomorphic Sarcoma Adjacent to the Ascending Colon and in the Right Iliopsoas Muscle: A Case Report and Review of the Literature

et al. 2019

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Undifferentiated pleomorphic sarcoma (UPS) is a soft tissue sarcoma, occurring most commonly on the lower extremities. We herein report a rare case of primary UPS adjacent to the ascending colon and in the right iliopsoas muscle. Computed tomography of the abdomen revealed large masses, and the patient experienced a high-grade fever, leukocytosis, elevated serum C-reactive protein level, and hematopoietic activation on 18F-fluorodeoxyglucose-positron emission tomography. This inflammatory reaction was caused by granulocyte colony-stimulating factor secreted by tumor cells. Surgical resection was performed, and the inflammatory reaction disappeared immediately. The patient received adjuvant chemotherapy and survived one year after the operation without evidence of recurrence.

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Primary malignant fibrous histiocytoma of the descending colon

Cited by 10 publications

References 14 publications

Malignant Fibrous Histiocytoma of the Ileum at a Site of Previous Surgery: Report of a Case

Malignant Fibrous Histiocytoma of the Ileum at a Site of Previous Surgery: Report of a Case

Surgical management of primary undifferentiated pleomorphic sarcoma of the rectum: a case report and review of the literature

G-CSF-producing Undifferentiated Pleomorphic Sarcoma Adjacent to the Ascending Colon and in the Right Iliopsoas Muscle: A Case Report and Review of the Literature

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