Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

画像所見から術前診断が可能であった腸間膜デスモイドの1例

Kawai, Takashi Department of Gastroenterological Surgery Transplant and Surgical Oncology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences|Department of Surgery, Japanese Red Cross Society Himeji Hospital
Watanabe, Takanori Department of Surgery, Japanese Red Cross Society Himeji Hospital
Nobuhisa, Tetuji Department of Surgery, Japanese Red Cross Society Himeji Hospital
Matumoto, Yusuke Department of Surgery, Japanese Red Cross Society Himeji Hospital
Kai, Kyohei Department of Surgery, Japanese Red Cross Society Himeji Hospital
Sato, Shiso Department of Surgery, Japanese Red Cross Society Himeji Hospital
Abstract
 A 73-year-old woman was admitted for closer investigation into an abdominal tumor. Abdominal ultra-sonography, CT, and magnetic resonance imaging showed a discrete abdominal tumor. Especially on MRI, the tumor appeared as a relatively ill-defined whorled soft-tissue thickening within the mesenteric fat, causing angulation or speculation of adjacent bowel mesentery. Surgery was performed under a presumptive diagnosis of a mesojejunum desmoid. The tumor was invading the transverse mesocolon and mesojejunum as well as the third portion of the duodenum and the middle colic artery, and it was close to but apart from the superior mesenteric artery. The tumor was resected, including removal of part of the duodenum and transverse colon. The specimen contained a white solid tumor measuring 14×12×8cm. Pathologic examination showed differentiated fibroblasts and copious collagen fibers. The tumor was negative for CD34, c-kit, S-100, and α-SMA, but positive for β-catenin. On the basis of these findings, we established a diagnosis of mesenteric desmoid tumor of the small intestine. The patient has been followed postoperatively for 2 years, no sign of recurrence, to date.
Keywords
小腸間膜 (mesentery of the small intestine)
デスモイド (desomoid)
腸間膜腫瘍 (mesenteric tumor)
Note
症例報告 (Case Reports)
ISSN
0030-1558
NCID
AN00032489
DOI
NAID