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Low grade fibromyxoid sarcoma of the falciform ligament: a case report.

Harish K, Ashok AC, Alva NK - BMC Surg (2003)

Bottom Line: Very few cases of intra-abdominal location have been reported.We report a 37 year old man who presented with an abdominal mass and dragging pain.Pre-operative imaging suggested the possibility of a subcapsular hemangioma of liver.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgical Oncology, MS Ramaiah Medical College, Bangalore, India. drkhari@yahoo.com

ABSTRACT

Background: Low grade fibromyxoid sarcomas (LGFMS) are very rarely seen. They commonly arise from deep soft tissues of the lower extremities. Very few cases of intra-abdominal location have been reported.

Case presentation: We report a 37 year old man who presented with an abdominal mass and dragging pain. Pre-operative imaging suggested the possibility of a subcapsular hemangioma of liver.

Conclusions: Laparoscopy was useful to locate the tumor as arising from falciform ligament and made the subsequent surgery simpler. This is one of the large fibromyxoid sarcomas to be reported.

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Related in: MedlinePlus

CT scan of the abdomen shows the close relation of mass to abdominal wall and liver. Peripheral enhancement of contrast can also be appreciated.
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Figure 2: CT scan of the abdomen shows the close relation of mass to abdominal wall and liver. Peripheral enhancement of contrast can also be appreciated.

Mentions: A 37 year old man noticed a mass in the epigastric region since four months and dull non radiating pain in the epigastrium since a month and a half. A few distended veins were seen over the abdominal wall. Abdominal examination revealed a non tender firm intra-abdominal mass in the epigastrium moving with respiration. A doubtful lateral mobility was present. An ultrasound study of the abdomen showed a large well encapsulated mass in the left lobe of liver with caudal exophytic expansion [Fig 1]. CT scan demonstrated the lesion extrinsically indenting stomach showing initial peripheral enhancement with centripetal filling on time delay [Fig 2]. There was no calcification. The mass was situated between the anterior abdominal wall and liver; but in close relation to the latter. In view of these findings, the possibility of a sub capsular mass, probably a hemangioma on the anterior surface of the left lobe of liver was considered. Biochemical and hematological investigations were within normal limits including liver function tests.


Low grade fibromyxoid sarcoma of the falciform ligament: a case report.

Harish K, Ashok AC, Alva NK - BMC Surg (2003)

CT scan of the abdomen shows the close relation of mass to abdominal wall and liver. Peripheral enhancement of contrast can also be appreciated.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC222986&req=5

Figure 2: CT scan of the abdomen shows the close relation of mass to abdominal wall and liver. Peripheral enhancement of contrast can also be appreciated.
Mentions: A 37 year old man noticed a mass in the epigastric region since four months and dull non radiating pain in the epigastrium since a month and a half. A few distended veins were seen over the abdominal wall. Abdominal examination revealed a non tender firm intra-abdominal mass in the epigastrium moving with respiration. A doubtful lateral mobility was present. An ultrasound study of the abdomen showed a large well encapsulated mass in the left lobe of liver with caudal exophytic expansion [Fig 1]. CT scan demonstrated the lesion extrinsically indenting stomach showing initial peripheral enhancement with centripetal filling on time delay [Fig 2]. There was no calcification. The mass was situated between the anterior abdominal wall and liver; but in close relation to the latter. In view of these findings, the possibility of a sub capsular mass, probably a hemangioma on the anterior surface of the left lobe of liver was considered. Biochemical and hematological investigations were within normal limits including liver function tests.

Bottom Line: Very few cases of intra-abdominal location have been reported.We report a 37 year old man who presented with an abdominal mass and dragging pain.Pre-operative imaging suggested the possibility of a subcapsular hemangioma of liver.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgical Oncology, MS Ramaiah Medical College, Bangalore, India. drkhari@yahoo.com

ABSTRACT

Background: Low grade fibromyxoid sarcomas (LGFMS) are very rarely seen. They commonly arise from deep soft tissues of the lower extremities. Very few cases of intra-abdominal location have been reported.

Case presentation: We report a 37 year old man who presented with an abdominal mass and dragging pain. Pre-operative imaging suggested the possibility of a subcapsular hemangioma of liver.

Conclusions: Laparoscopy was useful to locate the tumor as arising from falciform ligament and made the subsequent surgery simpler. This is one of the large fibromyxoid sarcomas to be reported.

Show MeSH
Related in: MedlinePlus