A CASE OF MYXOFIBROSARCOMA OF THE DIAPHRAGM

We report a rare case of myxofibrosarcoma of the diaphragm. A 45-year-old woman complaining of dull pain in the left hypochondrium was admitted to our hospital, because she was pointed out a left abdominal tumor on ultrasonography at another hospital. Abdominal CT and MRI revealed a discrete tumor a...

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Published inNihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 67; no. 3; pp. 606 - 610
Main Authors NAGATA, Chieko, SAIMURA, Michiyo, MITSUYAMA, Shoshu, ABE, Yuji, TAMAE, Keiyoshi, MATSUURA, Yasuo, YAMAMOTO, Ichiro
Format Journal Article
LanguageEnglish
Published Japan Surgical Association 2006
Online AccessGet full text
ISSN1345-2843
1882-5133
DOI10.3919/jjsa.67.606

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Abstract We report a rare case of myxofibrosarcoma of the diaphragm. A 45-year-old woman complaining of dull pain in the left hypochondrium was admitted to our hospital, because she was pointed out a left abdominal tumor on ultrasonography at another hospital. Abdominal CT and MRI revealed a discrete tumor about 17cm in diameter in the left hypochondrium, which compressed the stomach, spleen, pancreas, and left kidney. Angiography disclosed that the tumor was fed from the left subphrenic artery. Operative findings showed that the tumor had arisen from the diaphragm, and we performed the tumor resection combined with the spleen and part of the diaphragm. The histopathological diagnosis was myxofibrosarcoma (myxoid malignant fibrous histicytoma). She is under adjuvant chemotherapy with MAID (MESNA+ADM+IFM+DTIC), and has no recurrence, as of two months after the surgery.
AbstractList We report a rare case of myxofibrosarcoma of the diaphragm. A 45-year-old woman complaining of dull pain in the left hypochondrium was admitted to our hospital, because she was pointed out a left abdominal tumor on ultrasonography at another hospital. Abdominal CT and MRI revealed a discrete tumor about 17cm in diameter in the left hypochondrium, which compressed the stomach, spleen, pancreas, and left kidney. Angiography disclosed that the tumor was fed from the left subphrenic artery. Operative findings showed that the tumor had arisen from the diaphragm, and we performed the tumor resection combined with the spleen and part of the diaphragm. The histopathological diagnosis was myxofibrosarcoma (myxoid malignant fibrous histicytoma). She is under adjuvant chemotherapy with MAID (MESNA+ADM+IFM+DTIC), and has no recurrence, as of two months after the surgery.
Author NAGATA, Chieko
YAMAMOTO, Ichiro
TAMAE, Keiyoshi
SAIMURA, Michiyo
ABE, Yuji
MITSUYAMA, Shoshu
MATSUURA, Yasuo
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  fullname: YAMAMOTO, Ichiro
  organization: Departments of Pathology, Kitakyushu Municipal Medical Center
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References 3) 宇野 顕,池田道昭,大貫共正他:胸腔内悪性線維性組織球腫の手術症例について.日胸外会誌 35: 223-231, 1987
4) 神保雅幸,岡崎 肇,三浦一章他:再発・再手術を繰り返した横隔膜原発悪性線維性組織球腫の術後長期生存の1例.臨外 47: 957-960, 1992
13) 中馬広一:進行再発骨軟部肉腫に対する化学療法の現状.術後化学療法.癌と化療 31: 1331-1339, 2004
15) Matsumoto S, Ahmed AR, Kawaguchi N, et al: Results of surgery for malignant fibrous histiocytomas of soft tissue. Int J Clin Oncol 8: 104-109, 2003
7) 松本誠一,川口智義,真鍋 淳:骨軟部肉腫の手術療法.癌と化療 31: 1314-1323, 2004
1) 橋本 洋:新WHO分類:軟部腫瘍について.病理と臨 22: 114-119, 2004
2) 山口 洋,長谷川匡:軟部肉腫の病理診断と治療.癌と化療 31: 1340-1345, 2004
10) 芝木泰一郎,熱田義顕,森本典雄:術後2年間無再発生存が得られている横隔膜原発悪性線維性組織球腫の1例.日臨外会誌 66: 350-354, 2005
11) Belal A, Kandil A, Ayman A, et al: Malignant fibrous histiocytoma. Am J Clin Oncol (CCT) 25: 16-22, 2002
17) Fletcher CDM, Sundaram M, Rydholm A, et al: Soft tissue tumours: Epidemiology, clinical features, histopathological typing and grading. Ed. by Fletcher CDM, Unni KK, Mertens F, World Health Organization Classification of Tumours, Pathology and Genetics of Tumours of Soft Tissue and Bone. IARC Press, Lyon, 2002, p12-18
6) Rosai J: Soft tissues: Fibrohistiocytic tumors. Ed. by Houston M, ROSAI AND ACKERAN'S Surgical Pathology, vol 2, Ninth edition, Mosby, New York, 2004, p2255-2263
16) Gibbs JF, Huang PP, Lee RJ, et al: Malignant fibrous histiocytoma: An institutional review. Cancer Investigation 19: 23-27, 2001
9) Pezzi CM, Rawling MS, Esgro JJ, et al: Prognostic factors in 227 patients with malignant fibrous histiocytoma. Cancer 69: 2098-2103, 1992
12) Oda Y, Tamiya S, Oshiro Y, et al: Reassessment and clinicopathological prognostic factors of malignant fibrous histiocytoma of soft parts. Pathology International 52: 595-606, 2002
5) 上谷雅孝,沖本智昭,林 邦照他:軟部肉腫:線維性腫瘍,線維組織球性腫瘍,脂肪性腫瘍の画像と病理像.日独医報 43: 97-108, 1998
8) Weiss SW, Enzinger FM: Malignant fibrous histiocytoma. An analysis of 200 cases. Cancer 41: 2250-2266, 1978
14) 五嶋孝博,古作英実,小林 寛他:術後化学療法.癌と化療 31: 1324-1329, 2004
References_xml – reference: 5) 上谷雅孝,沖本智昭,林 邦照他:軟部肉腫:線維性腫瘍,線維組織球性腫瘍,脂肪性腫瘍の画像と病理像.日独医報 43: 97-108, 1998
– reference: 4) 神保雅幸,岡崎 肇,三浦一章他:再発・再手術を繰り返した横隔膜原発悪性線維性組織球腫の術後長期生存の1例.臨外 47: 957-960, 1992
– reference: 10) 芝木泰一郎,熱田義顕,森本典雄:術後2年間無再発生存が得られている横隔膜原発悪性線維性組織球腫の1例.日臨外会誌 66: 350-354, 2005
– reference: 13) 中馬広一:進行再発骨軟部肉腫に対する化学療法の現状.術後化学療法.癌と化療 31: 1331-1339, 2004
– reference: 11) Belal A, Kandil A, Ayman A, et al: Malignant fibrous histiocytoma. Am J Clin Oncol (CCT) 25: 16-22, 2002
– reference: 1) 橋本 洋:新WHO分類:軟部腫瘍について.病理と臨 22: 114-119, 2004
– reference: 16) Gibbs JF, Huang PP, Lee RJ, et al: Malignant fibrous histiocytoma: An institutional review. Cancer Investigation 19: 23-27, 2001
– reference: 3) 宇野 顕,池田道昭,大貫共正他:胸腔内悪性線維性組織球腫の手術症例について.日胸外会誌 35: 223-231, 1987
– reference: 7) 松本誠一,川口智義,真鍋 淳:骨軟部肉腫の手術療法.癌と化療 31: 1314-1323, 2004
– reference: 9) Pezzi CM, Rawling MS, Esgro JJ, et al: Prognostic factors in 227 patients with malignant fibrous histiocytoma. Cancer 69: 2098-2103, 1992
– reference: 15) Matsumoto S, Ahmed AR, Kawaguchi N, et al: Results of surgery for malignant fibrous histiocytomas of soft tissue. Int J Clin Oncol 8: 104-109, 2003
– reference: 8) Weiss SW, Enzinger FM: Malignant fibrous histiocytoma. An analysis of 200 cases. Cancer 41: 2250-2266, 1978
– reference: 6) Rosai J: Soft tissues: Fibrohistiocytic tumors. Ed. by Houston M, ROSAI AND ACKERAN'S Surgical Pathology, vol 2, Ninth edition, Mosby, New York, 2004, p2255-2263
– reference: 2) 山口 洋,長谷川匡:軟部肉腫の病理診断と治療.癌と化療 31: 1340-1345, 2004
– reference: 12) Oda Y, Tamiya S, Oshiro Y, et al: Reassessment and clinicopathological prognostic factors of malignant fibrous histiocytoma of soft parts. Pathology International 52: 595-606, 2002
– reference: 14) 五嶋孝博,古作英実,小林 寛他:術後化学療法.癌と化療 31: 1324-1329, 2004
– reference: 17) Fletcher CDM, Sundaram M, Rydholm A, et al: Soft tissue tumours: Epidemiology, clinical features, histopathological typing and grading. Ed. by Fletcher CDM, Unni KK, Mertens F, World Health Organization Classification of Tumours, Pathology and Genetics of Tumours of Soft Tissue and Bone. IARC Press, Lyon, 2002, p12-18
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Title A CASE OF MYXOFIBROSARCOMA OF THE DIAPHRAGM
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