Mesentery solitary fibrous tumor with postoperative recurrence and sarcomatosis: A case report and review of literature  

作　　者：Chong-Chi Chiu Haruaki Ishibashi Satoshi Wakama Yang Liu Yuan Hao Chao-Ming Hung Po-Huang Lee Kun-Ming Rau Hui-Ming Lee Yutaka Yonemura 

机构地区：[1]Department of General Surgery,E-Da Cancer Hospital,Kaohsiung 82445,Taiwan [2]School of Medicine,College of Medicine,IShou University,Kaohsiung 82445,Taiwan [3]Department of Medical Education and Research,E-Da Cancer Hospital,Kaohsiung 82445,Taiwan [4]Peritoneal Surface Malignancy Center,Kishiwada Tokushukai Hospital,Osaka 596-8522,Japan [5]Department of General Surgery,Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China [6]Department of General Surgery,E-Da Hospital,Kaohsiung 82445,Taiwan [7]College of Medicine,I-Shou University,Kaohsiung 82445,Taiwan [8]Department of Hematology&Oncology,E-Da Cancer Hospital,Kaohsiung 82445,Taiwan

出　　处：《World Journal of Clinical Oncology》2022年第4期303-313,共11页世界临床肿瘤学杂志（英文版）

摘　　要：BACKGROUND Solitary fibrous tumors are rare neoplasms of mesenchymal origin. They are often of low malignant potential and rarely metastasize. They frequently arise from the pleura and can occur at any soft tissue site in the body. However, these tumors rarely develop in the mesentery, peritoneal cavity or peritoneum.CASE SUMMARY We report on a scarce case of solitary fibrous tumor of the rectal mesentery showing sarcomatosis about 4 years after previous tumor resection. This 69-yearold male had no clinical symptoms but was transferred to our hospital because of a suspected tumor recurrence from follow-up abdominal computed tomography.Tumor markers(CEA, CA 19-9 and CA 125) were within the normal range. Open laparotomy showed sarcomatosis, and pathology confirmed its mesenchymal origin and diagnosis as the solitary fibrous tumor. Our case may be the second recurrent mesentery solitary fibrous tumor reported to date, and the only one with progression to sarcomatosis. There has been no evidence of recurrence in follow-up at the 28 th mo after extensive intra-operative peritoneal lavage and cytoreductive surgery.CONCLUSION Although there are few risk factors of cancer recurrence in this patient, careful long-term followup after cytoreductive surgery is necessary.

关 键 词：Solitary fibrous tumor of rectum mesentery RECURRENCE Sarcomatosis Extensive intra-operative peritoneal lavage Cytoreductive surgery Case report 

分 类 号：R735.4[医药卫生—肿瘤]