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Primary malignant fibrous histiocytoma of the ascending colon: Report of a case

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Abstract

We report herein an unusual case of primary malignant fibrous histiocytoma (MFH) of the ascending colon. A 47-year-old man was admitted to our hospital for further investigations following the discovery of a mass in the right lower quadrant of the abdomen during a medical checkup. Abdominal ultrasonography (US) and computed tomography (CT) demonstrated a mass extending to the right lateral side from the ascending colon. At laparotomy, a tumor was found originating in the ascending colon and infiltrating the right lateral peritoneum. A right hemicolectomy and partial peritoneal dissection were performed followed by an ileotransverse colostomy reconstruction. The resected specimen contained a tumor measuring 7×5×4 cm, the cut surface of which was yellowish white, and the mucosa of the colon was intact. Based on histological and immunohistochemical inspection, the tumor was diagnosed as MFH of the ascending colon. We reviewed the total 18 known cases of colorectal MFH documented in the literature including our case. After surgery, 4 of 17 patients died of local recurrence, all within 42 months, indicating that early and complete excision of tumor is essential to achieve cure.

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Authors and Affiliations

  1. Department of Surgery, Mitoyo General Hospital, 708 Himehama, Toyohama-cho, Mitoyo-gun, 769-1695, Kagawa, Japan

    Tetsunobu Udaka

  2. Department of Surgery, Mitsubishi Mizushima Hospital, 6-1 Mizushimatakasago-cho, Kurashiki-shi, 712, Okayama, Japan

    Yoshihide Suzuki

  3. Department of Internal Medicine, Mitsubishi Mizushima Hospital, 6-1 Mizushimatakasago-cho, Kurashiki-shi, 712, Okayama, Japan

    Humiaki Kimura, Katsuhiro Miyashita & Toshimitsu Suwaki

  4. Department of Pathology II, Okayama University Medical School, 700, Okayama, Japan

    Tadashi Yoshino

Authors
  1. Tetsunobu Udaka
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  2. Yoshihide Suzuki
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  3. Humiaki Kimura
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  4. Katsuhiro Miyashita
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  5. Toshimitsu Suwaki
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  6. Tadashi Yoshino
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Udaka, T., Suzuki, Y., Kimura, H. et al. Primary malignant fibrous histiocytoma of the ascending colon: Report of a case. Surg Today 29, 160–164 (1999). https://doi.org/10.1007/BF02482242

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  • DOI: https://doi.org/10.1007/BF02482242

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