Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A Case of Primary Malignant Solitary Fibrous Tumor of the Jejunum with a Rapidly Fatal Course
Yasutomo MIURAYuji SHINGUKazuhisa AKAHANEShinji NORIMIZUEiji SAKAMOTO
Author information
JOURNAL FREE ACCESS

2016 Volume 77 Issue 5 Pages 1129-1133

Details
Abstract
A 70-year-old man with bloody bowel discharge resulting in severe anemia was referred to our hospital. Abdominal CT and endoscopic examination revealed a hemorrhagic tumor 3 cm in diameter in the jejunum. Partial resection of the jejunum was performed both as a cure for bowel bleeding and to diagnose the tumor. The resected specimen showed a submucosal tumor measuring 9.5×4.5×4.0 cm projecting into the lumen. Histologically, the tumor comprised spindle cells showing patternless growth and a hemangiopericytoma pattern. Immunohistochemically, tumor cells were positive for bcl-2 and CD99. According to these findings, the tumor was diagnosed as solitary fibrous tumor. The patient showed recurrence in the superior mesenteric plexus, L5 lumbar vertebra, left suprarenal gland, and piriformis muscle 3 months after the operation, and died 5 months postoperatively due to multiple-organ failure. This is a rare case in which SFT of the intestine caused a malignant outcome.
Content from these authors
© 2016 Japan Surgical Association
Previous article Next article
feedback
Top