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Primary Intestinal Malignant Fibrous Histiocytoma Presenting as a Pelvic Mass: Report of a Case

原發性小腸惡性纖維組織細胞瘤以骨盆腔腫瘤表現:一病例報告

摘要


惡性纖維組織細胞瘤為一常見之軟組織瘤,通常發生在骨及後腹壁。原發性或轉移性之腸道惡性纖維組織細胞瘤為一罕見之疾病,特別是發生在小腸者更為稀少。我們報告一例小腸惡性纖維組織細胞瘤以骨盆腔腫瘤表現之病例。61歲女性主述腹痛已有一年,臨床理學檢查及實驗室檢查並無特殊,經超音波,電腦斷層診斷為骨盆腔腫瘤,經手術切除,病理証實為惡性纖維組織細胞瘤。術後並接受化學治療,至今已存活27個月。

並列摘要


Primary and metastatic malignant fibrous histiocytoma (MFH) of the alimentary tract is uncommon, even though it is the most frequently diagnosed malignant soft tissue tumor in adults. Only a few cases have been reported in the medical literature, Clinical presentations of published cases include dysphagia, abdominal pain, gastrointestinal bleeding, signs of acute or chronic obstruction, body weight loss, perforation and abdominal mass. We report a 61 year-old woman with primary MFH of the small intestine presenting as a pelvic mass. She has been living for 27 months after surgical removal of entire tumor and adjuvant chemotherapy.

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