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Solitary Fibrous Tumor Low Rectum Simulating Cancer

Received: 29 March 2021     Accepted: 21 April 2021     Published: 13 July 2021
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Abstract

Introduction: The solitary fibrous tumor is a benign mesenchymal tumor of rare extra-pleural location. We report a case of solitary fibrous tumor observed in the lower rectum simulating cancer. The objective was to discuss the diagnostic and therapeutic management of the solitary fibrous in Madagascar. Observation: This is a sixty-five-year-old man, seen in consultation for dyskinesia, with no family history of neoplasia. The digital rectal examination revealed a large, non-budding, firm mass at the level of the right posterolateral surface with a lower pole located 2 cm from the anal margin, the remains of the physical examination are normal. Abdominal computed tomography showed a mass measuring 8 × 7 × 5.5 cm at the expense of the rectal wall of regular tissue density, without a mesenteric node or secondary localization. the biopsy had not found any malignant cells. This result is due to insufficiently deep biopsy samples of the mass, which led us to perform a complete surgical excision by coloprotectomy. The operative follow-up to which was simple. Immunohistochemical study of the surgical specimen confirmed the diagnosis with a positive CD 34 marker. The outcome was favourable without metastasis or recurrence after a six-month follow-up. Conclusion: The rectal localization of the solitary fibrous tumor is exceptional. The diagnosis is histological confirmed by the immunohistochemical study with a positive CD 34 marker.

Published in International Journal of Clinical Oncology and Cancer Research (Volume 6, Issue 3)
DOI 10.11648/j.ijcocr.20210603.12
Page(s) 115-117
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Excision, Immunohistochemistry, Mesenchymal Tumor, Rectum, Solitary Fibrous Tumor

References
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[2] Yi B, Bewtra C, Yussef K, Silva E. Giant pelvic fibrous pelvic tumor obstructing the intestinal and urinary tract: case report and review of the literature. Suis Surg. 2007; 73: 478-80.
[3] Nagase T, Adachi I, Yamada T, Murakami N, Morita K, YoshinoY. Solitary fibrous tumor in the pelvic cavity with hypoglycemia: a case report. Surg today. 2005; 35: 181-4.
[4] Klemperer P, Coleman BR. Primary neoplasms of the pleural: a report of five cases. Am J Ind Med. 1931; 22 (1): 1-31.
[5] Wang j, Arber DA, Frankel K, Weiss LM. Large solitary fibrous tumor of the kidney: Report of two cases and review of the literature. Am. j. Surg. Pathol. 2001; 25 (9): 1194-9.
[6] Falconieri G, Lamovec J, Mirra M, Pizzolitto S. Solitary fibrous tumor of the mammary gland: A potential pitfall in breast pathology. Ann. Diag. pathol, 2004; 8: 121-25.
[7] Gold JS, Antonescu CR, Hajdu C. Clinicopathologic correlates of solitary fibrous tumors. Cancer 2002; 94: 1057-68.
[8] Hoffmann H, Giger OT, Bubendorf L, Lardinois D. Contralateral recurrenc of a malignant solitary fibrous tumor of the pleura. Interact CardioVascThorac Surg 2011; 12: 306-7.
[9] Moran CA, Suster S, Koss MN. The spectrum of histologic growth patterns in benign and malignant fibrous tumor of the pleura. Sem. Diagnos. Pathol., 1992, 9, 169-180.
[10] Chan JKC. Solitary fibrous tumor: everywhere, and a diagnosis in vogue. Histopathology 1997; 31: 568-76.
[11] Cannard L, Debelle L, Laurent V, Béot S, Leclerc JC, Régent D. Imaging of solitary fibrous tumors of the pleural. Radiology Leaflets 2001; 41: 317-24.
[12] Miettinen M, Monihan JM, Sarlomo-RM, Kovatich AJ, Carr NJ, Emory TS, Sobin LH: Primary Gastrointestinal Stromal Tumors / Smooth Musclar Tumors (GISTs) in Omentum and Mesentery: Clinico-pathological and Immunohistochemical Study of 26 Cases, Am J Surg Pathol, 1999, 23 (9): 1109-18.
[13] Ryu HS, Heo I, Koh JS, Jin SH, Kang HJ, Cho SY: Primary monophasic synovial sarcoma occurring in the mesentery: case report of an extremely rare mesenteric sarcoma confirmed by molecular detection of a fusion transcript SYT-SSX2, Korean J Pathol, 2012, 46 (2): 187-91.
[14] Vallat DAV, Dry SM, Fletcher CDM Atypical and solitary malignant fibrous tumors in external-thoracic locations: evidence of their comparability to inside thoracic tumors., Am J Surg Pathol, 1998, 22 (12): 1501-11.
[15] Daigeler A, Lehnhardt M, Langer S, Steinstraesser L, Steinau HU, Mentzel T, Kuhnen C: Clinopathologic findings in a case series of solitary external-thoracic fibrous tumors of soft tissue BMC Surg, 2006.
[16] Hiroaki S, Osamu K, Hiroshi Y, Matsuo N, Nobuhiro T, Atsushi I, Akihiro C, Hisashi G, Akinari M, Satoko I, Akinobu AC: solitary fibrous tumor giant inside-pelvic after Mesorectal J Gastroenterol 2010 3: 136-39.
[17] Cardillo G, Carbone L, Carleo F: Solitary fibrous tumors of the pleura: an analysis of 110 patients treated in a single institution: Ann Thorac Surg 2009 88: 1632-37.
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  • APA Style

    Rajaonarivony Tianarivelo, Mosa Fasoa, Andrianarijon Heritiana Nandrianina, Rakotomena Solonirina Davidà, Rahantasoa Finaritra Casimir Fleur Prudence, et al. (2021). Solitary Fibrous Tumor Low Rectum Simulating Cancer. International Journal of Clinical Oncology and Cancer Research, 6(3), 115-117. https://doi.org/10.11648/j.ijcocr.20210603.12

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    ACS Style

    Rajaonarivony Tianarivelo; Mosa Fasoa; Andrianarijon Heritiana Nandrianina; Rakotomena Solonirina Davidà; Rahantasoa Finaritra Casimir Fleur Prudence, et al. Solitary Fibrous Tumor Low Rectum Simulating Cancer. Int. J. Clin. Oncol. Cancer Res. 2021, 6(3), 115-117. doi: 10.11648/j.ijcocr.20210603.12

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    AMA Style

    Rajaonarivony Tianarivelo, Mosa Fasoa, Andrianarijon Heritiana Nandrianina, Rakotomena Solonirina Davidà, Rahantasoa Finaritra Casimir Fleur Prudence, et al. Solitary Fibrous Tumor Low Rectum Simulating Cancer. Int J Clin Oncol Cancer Res. 2021;6(3):115-117. doi: 10.11648/j.ijcocr.20210603.12

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  • @article{10.11648/j.ijcocr.20210603.12,
      author = {Rajaonarivony Tianarivelo and Mosa Fasoa and Andrianarijon Heritiana Nandrianina and Rakotomena Solonirina Davidà and Rahantasoa Finaritra Casimir Fleur Prudence and Rakoto Ratsimba Hery Nirina},
      title = {Solitary Fibrous Tumor Low Rectum Simulating Cancer},
      journal = {International Journal of Clinical Oncology and Cancer Research},
      volume = {6},
      number = {3},
      pages = {115-117},
      doi = {10.11648/j.ijcocr.20210603.12},
      url = {https://doi.org/10.11648/j.ijcocr.20210603.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20210603.12},
      abstract = {Introduction: The solitary fibrous tumor is a benign mesenchymal tumor of rare extra-pleural location. We report a case of solitary fibrous tumor observed in the lower rectum simulating cancer. The objective was to discuss the diagnostic and therapeutic management of the solitary fibrous in Madagascar. Observation: This is a sixty-five-year-old man, seen in consultation for dyskinesia, with no family history of neoplasia. The digital rectal examination revealed a large, non-budding, firm mass at the level of the right posterolateral surface with a lower pole located 2 cm from the anal margin, the remains of the physical examination are normal. Abdominal computed tomography showed a mass measuring 8 × 7 × 5.5 cm at the expense of the rectal wall of regular tissue density, without a mesenteric node or secondary localization. the biopsy had not found any malignant cells. This result is due to insufficiently deep biopsy samples of the mass, which led us to perform a complete surgical excision by coloprotectomy. The operative follow-up to which was simple. Immunohistochemical study of the surgical specimen confirmed the diagnosis with a positive CD 34 marker. The outcome was favourable without metastasis or recurrence after a six-month follow-up. Conclusion: The rectal localization of the solitary fibrous tumor is exceptional. The diagnosis is histological confirmed by the immunohistochemical study with a positive CD 34 marker.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Solitary Fibrous Tumor Low Rectum Simulating Cancer
    AU  - Rajaonarivony Tianarivelo
    AU  - Mosa Fasoa
    AU  - Andrianarijon Heritiana Nandrianina
    AU  - Rakotomena Solonirina Davidà
    AU  - Rahantasoa Finaritra Casimir Fleur Prudence
    AU  - Rakoto Ratsimba Hery Nirina
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    N1  - https://doi.org/10.11648/j.ijcocr.20210603.12
    DO  - 10.11648/j.ijcocr.20210603.12
    T2  - International Journal of Clinical Oncology and Cancer Research
    JF  - International Journal of Clinical Oncology and Cancer Research
    JO  - International Journal of Clinical Oncology and Cancer Research
    SP  - 115
    EP  - 117
    PB  - Science Publishing Group
    SN  - 2578-9511
    UR  - https://doi.org/10.11648/j.ijcocr.20210603.12
    AB  - Introduction: The solitary fibrous tumor is a benign mesenchymal tumor of rare extra-pleural location. We report a case of solitary fibrous tumor observed in the lower rectum simulating cancer. The objective was to discuss the diagnostic and therapeutic management of the solitary fibrous in Madagascar. Observation: This is a sixty-five-year-old man, seen in consultation for dyskinesia, with no family history of neoplasia. The digital rectal examination revealed a large, non-budding, firm mass at the level of the right posterolateral surface with a lower pole located 2 cm from the anal margin, the remains of the physical examination are normal. Abdominal computed tomography showed a mass measuring 8 × 7 × 5.5 cm at the expense of the rectal wall of regular tissue density, without a mesenteric node or secondary localization. the biopsy had not found any malignant cells. This result is due to insufficiently deep biopsy samples of the mass, which led us to perform a complete surgical excision by coloprotectomy. The operative follow-up to which was simple. Immunohistochemical study of the surgical specimen confirmed the diagnosis with a positive CD 34 marker. The outcome was favourable without metastasis or recurrence after a six-month follow-up. Conclusion: The rectal localization of the solitary fibrous tumor is exceptional. The diagnosis is histological confirmed by the immunohistochemical study with a positive CD 34 marker.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • Unit of Digestive Surgery, Hospital Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

  • Unit of Digestive Surgery, Hospital Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

  • Unit of Digestive Surgery, Hospital Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

  • Unit of Digestive Surgery, Hospital Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

  • Unit of Digestive Surgery, Hospital Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

  • Unit of Digestive Surgery, Hospital Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

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