Introduction: Solid primary tumors of mesenteric origin are quite rare among the intraabdominal soft tissue tumors. The most frequent tumors are Gastrointestinal Stromal Tumors (GIST) and smooth muscle tumors. GISTs as the largest group of these tumors are usually seen in the wall of gastrointestinal tract and 25% of them are malignant. They usually occur in adults and there is no sexual predominance. We present a huge intra-abdominal myoma clinically mimicking GIST. Case Report: A 49-years old male was referred to our deparment because of a growing mass and pain in the right lower quadrant. Physical examination revealed a huge mass with 10 cm in diameter in the right lower quadrant. Computed tomography (CT) revealed a mass with 17 cm in diameter which originated from caecum and extented from umblicus to urinary bladder and right colon. The mass was resected en-bloc with right hemicolectomy. The final diagnosis is ‘’Fibromyoma of the mesentery’’. Discussion: They usually arise de novo and are seen in adults. Myofibroma can occur as a solitary form or it can be seen as multiple lesions like generalized form which is described as myofibromatozis. Myofibromas are characteristically circumscribed masses with a nodular or multinodular growth pattern and they usually show a biphasic growth pattern . The behaviour of mesenteric smooth muscle tumours is unpredictable. Because they arise large diameters and they can cause different clinical symptoms like obstruction and abdominal pain. The treatment of mesenteric fibromyoma is complete resection. Large intraabdominal solid masses pose a diagnostic challenge either grossly or microscopically. Histopathologically, huge benign fibromyomas should be kept in mind of differantial diagnosis of GİSTs.
| Published in | Journal of Surgery (Volume 2, Issue 6) |
| DOI | 10.11648/j.js.20140206.12 |
| Page(s) | 88-92 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2014. Published by Science Publishing Group |
Colectomy, Gastrointestinal Stromal Tumors, Myofibroma, Smooth Muscle Actin
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APA Style
Safak Ozturk, Ozhan Cetindag, Mutlu Unver, Melek Uncel, Burcin Kibar Ozturk, et al. (2014). Mesenteric Fibromyoma Mimicking a Colon Tumor: A Diagnostic Dilemma. Journal of Surgery, 2(6), 88-92. https://doi.org/10.11648/j.js.20140206.12
ACS Style
Safak Ozturk; Ozhan Cetindag; Mutlu Unver; Melek Uncel; Burcin Kibar Ozturk, et al. Mesenteric Fibromyoma Mimicking a Colon Tumor: A Diagnostic Dilemma. J. Surg. 2014, 2(6), 88-92. doi: 10.11648/j.js.20140206.12
AMA Style
Safak Ozturk, Ozhan Cetindag, Mutlu Unver, Melek Uncel, Burcin Kibar Ozturk, et al. Mesenteric Fibromyoma Mimicking a Colon Tumor: A Diagnostic Dilemma. J Surg. 2014;2(6):88-92. doi: 10.11648/j.js.20140206.12
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Download@article{10.11648/j.js.20140206.12,
author = {Safak Ozturk and Ozhan Cetindag and Mutlu Unver and Melek Uncel and Burcin Kibar Ozturk and Eyup Kebabci and Umit Bayol},
title = {Mesenteric Fibromyoma Mimicking a Colon Tumor: A Diagnostic Dilemma},
journal = {Journal of Surgery},
volume = {2},
number = {6},
pages = {88-92},
doi = {10.11648/j.js.20140206.12},
url = {https://doi.org/10.11648/j.js.20140206.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20140206.12},
abstract = {Introduction: Solid primary tumors of mesenteric origin are quite rare among the intraabdominal soft tissue tumors. The most frequent tumors are Gastrointestinal Stromal Tumors (GIST) and smooth muscle tumors. GISTs as the largest group of these tumors are usually seen in the wall of gastrointestinal tract and 25% of them are malignant. They usually occur in adults and there is no sexual predominance. We present a huge intra-abdominal myoma clinically mimicking GIST. Case Report: A 49-years old male was referred to our deparment because of a growing mass and pain in the right lower quadrant. Physical examination revealed a huge mass with 10 cm in diameter in the right lower quadrant. Computed tomography (CT) revealed a mass with 17 cm in diameter which originated from caecum and extented from umblicus to urinary bladder and right colon. The mass was resected en-bloc with right hemicolectomy. The final diagnosis is ‘’Fibromyoma of the mesentery’’. Discussion: They usually arise de novo and are seen in adults. Myofibroma can occur as a solitary form or it can be seen as multiple lesions like generalized form which is described as myofibromatozis. Myofibromas are characteristically circumscribed masses with a nodular or multinodular growth pattern and they usually show a biphasic growth pattern . The behaviour of mesenteric smooth muscle tumours is unpredictable. Because they arise large diameters and they can cause different clinical symptoms like obstruction and abdominal pain. The treatment of mesenteric fibromyoma is complete resection. Large intraabdominal solid masses pose a diagnostic challenge either grossly or microscopically. Histopathologically, huge benign fibromyomas should be kept in mind of differantial diagnosis of GİSTs.},
year = {2014}
}
TY - JOUR T1 - Mesenteric Fibromyoma Mimicking a Colon Tumor: A Diagnostic Dilemma AU - Safak Ozturk AU - Ozhan Cetindag AU - Mutlu Unver AU - Melek Uncel AU - Burcin Kibar Ozturk AU - Eyup Kebabci AU - Umit Bayol Y1 - 2014/12/16 PY - 2014 N1 - https://doi.org/10.11648/j.js.20140206.12 DO - 10.11648/j.js.20140206.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 88 EP - 92 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20140206.12 AB - Introduction: Solid primary tumors of mesenteric origin are quite rare among the intraabdominal soft tissue tumors. The most frequent tumors are Gastrointestinal Stromal Tumors (GIST) and smooth muscle tumors. GISTs as the largest group of these tumors are usually seen in the wall of gastrointestinal tract and 25% of them are malignant. They usually occur in adults and there is no sexual predominance. We present a huge intra-abdominal myoma clinically mimicking GIST. Case Report: A 49-years old male was referred to our deparment because of a growing mass and pain in the right lower quadrant. Physical examination revealed a huge mass with 10 cm in diameter in the right lower quadrant. Computed tomography (CT) revealed a mass with 17 cm in diameter which originated from caecum and extented from umblicus to urinary bladder and right colon. The mass was resected en-bloc with right hemicolectomy. The final diagnosis is ‘’Fibromyoma of the mesentery’’. Discussion: They usually arise de novo and are seen in adults. Myofibroma can occur as a solitary form or it can be seen as multiple lesions like generalized form which is described as myofibromatozis. Myofibromas are characteristically circumscribed masses with a nodular or multinodular growth pattern and they usually show a biphasic growth pattern . The behaviour of mesenteric smooth muscle tumours is unpredictable. Because they arise large diameters and they can cause different clinical symptoms like obstruction and abdominal pain. The treatment of mesenteric fibromyoma is complete resection. Large intraabdominal solid masses pose a diagnostic challenge either grossly or microscopically. Histopathologically, huge benign fibromyomas should be kept in mind of differantial diagnosis of GİSTs. VL - 2 IS - 6 ER -
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