Giant fibroma of the lesser omentum: report of a rare case

We report a case of a 43 years old male that presented to emergency room for epigastric and mesogastric pain associated with a palpable abdominal mass. Explorative laparotomy showed a well capsulated tumour of the lesser omentum, sized 20 x 16 x 10 cm. Histologically the mass was charaterized by thi...

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Published inActa bio-medica de l'Ateneo Parmense Vol. 76; no. 1; pp. 42 - 44
Main Authors Iusco, Domenico, Donadei, Enrico, Sgobba, Giuseppe, Sarli, Leopoldo
Format Journal Article
LanguageEnglish
Published Italy 01.04.2005
Subjects
Adult
Fibroma - diagnostic imaging
Fibroma - surgery
Follow-Up Studies
Humans
Male
Omentum - diagnostic imaging
Peritoneal Neoplasms - diagnostic imaging
Peritoneal Neoplasms - surgery
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
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Summary:We report a case of a 43 years old male that presented to emergency room for epigastric and mesogastric pain associated with a palpable abdominal mass. Explorative laparotomy showed a well capsulated tumour of the lesser omentum, sized 20 x 16 x 10 cm. Histologically the mass was charaterized by thick fibrous capsula, with areas of moderate cellularity alternated to areas of sclerosis, spots of hemorragies and infartual necrosis, spindle-shaped cells within collagen bundles that did not present mitotic activity or atipies and showed a low proliferation index with Ki 67 and histochemical positivity for CD 34 and negativity for C-Kit, anti-smooth cell and S100 antigen. solitary fibroma of the lesser omentum. To our knowledge only one case of lesser omentum fibroma has been reported in litterature.
Bibliography:ObjectType-Case Study-2
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ISSN:0392-4203