Simultaneous Colonic Obstruction and Hydroureteronephrosis due to Mesenteric Fibromatosis
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Mesenteric fibromatosis (MF) is a rare benign mesenchymal lesion that can occur throughout the gastrointestinal tract, especially small bowel. Its biological behavior is intermediate between benign fibrous tissue proliferation and malignant fibrosarcoma. In previously reported cases of MF, we could find colonic obstruction or ureter obstruction, but simultaneous involvement of colon and ureter was not able to be seen. We described a patient that presented with colonic obstruction and hydroureteronephrosis due to MF at sigmoid colon which mimicked submucosal tumor such as gastrointestinal tumor. This case resulted in a positive positron emission tomography scan suggesting malignant neoplasm, but β-catenin positivity on immunohistochemical staining separated MF from gastrointestinal stromal tumor and sclerosing mesenteritis. The clinical course of the patient was improved after surgical resection.
Abstract
Mesenteric fibromatosis (MF) is a rare benign mesenchymal lesion that can occur throughout the gastrointestinal tract, especially small bowel. Its biological behavior is intermediate between benign fibrous tissue proliferation and malignant fibrosarcoma. In previously reported cases of MF, we could find colonic obstruction or ureter obstruction, but simultaneous involvement of colon and ureter was not able to be seen. We described a patient that presented with colonic obstruction and hydroureteronephrosis due to MF at sigmoid colon which mimicked submucosal tumor such as gastrointestinal tumor. This case resulted in a positive positron emission tomography scan suggesting malignant neoplasm, but β-catenin positivity on immunohistochemical staining separated MF from gastrointestinal stromal tumor and sclerosing mesenteritis. The clinical course of the patient was improved after surgical resection.
참고문헌 (10)
- Burke AP, "Intra-abdominal fibromatosis: a pathologic analysis of 130 tumors with comparison of clinical subgroups", Am J Surg Pathol, 14, pp.335~341 (1990)
- Rampone B, "Update on abdominal desmoids tumors", World J Gastroenterol, 13, pp.5985~5988 (2007)
- Rodriguez JA, "Mesenteric fibromatosis with involvement of the gastrointestinal tract. A GIST simulator: a study of 25 cases", Am J Clin Pathol, 121, pp.93~98 (2004)
- Einstein DM, "Abdominal desmoids: CT findings in 25 patients", AJR Am J Roentgenol, 157, pp.275~279 (1991)
- Quinn SF, "MR imaging in fibromatosis: results in 26 patients with pathologic correlation", AJR Am J Roentgenol, 156, pp.539~542 (1991)
- Yantiss RK, "Gastrointestinal stromal tumor versus intra-abdominal fibromatosis of the bowel wall: a clinically important differential diagnosis", Am J Surg Pathol, 24, pp.947~957 (2000)
- Colombo P, "Localized intra-abdominal fibromatosis of the small bowel mimicking a gastrointestinal stromal tumor: a case report", World J Gastroenterol, 11, pp.5226~5228 (2005)
- Monihan JM, "CD34 immunoexpression in stromal tumours of the gastrointestinal tract and in mesenteric fibromatoses", Histopathology, 25, pp.469~473 (1994)
- Montgomery E, "β-catenin immunohistochemistry separates mesenteric fibromatosis from gastrointestinal stromal tumor and sclerosing mesenteritis", Am J Surg Pathol, 26, pp.1296~1301 (2002)
- Lo KW, "Mesenteric fibromatosis as a potential source of false-positive interpretation of FDG-PET: report of a case", Dis Colon Rectum, 50, pp.924~926 (2007)