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Giant Retroperitoneal Fibrosarcoma Associated with Familial Polyposis Coli, Report of a Case S Shibuya 1 , H. Sarashina 2 , M. Kikuchi 1 , K. Nakamura 1 1Department of Pathology, Institute of Basic Medical Sciences, University of Tsukuba pp.689-693
Published Date 1984/6/25
DOI https://doi.org/10.11477/mf.1403107057
  • Abstract
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 Familial polyposis coli with giant retroperitoneal fibrosarcoma is rare. A 31 year-old woman had gone through total colectomy with ileostomy for familial polyposis coli with an advanced cancer. Surgical specimen of the colon had 2,969 polyps and an advanced cancer of the rectum (Fig. 2). Nine polyps out of them showed, histologically, cancer in adenoma. A large tumor localized in the left lower quadrant of the abdomen was noticed about eleven months after the operation, and she was readmitted to the hospital.

 Ultrasonography showed a giant abdominal tumor which occupied the entire left abdominal cavity (Fig. 4). Angiography also showed a giant retroperitoneal tumor fed by the lumbar and superior mesenteric arteries (Fig. 5). Tumor resection with left nephrectomy and partial ileoectomy and common iliac artery reconstruction were conservatively performed on October, 1982. Macroscopic findings of the resected specimen showed a smooth-surfaced tumor measuring about 35.5×27.0×14.0 cm in dimensions and weighing 7.8 kg (Fig. 6). The tumor was fibrosarcoma histologically (Fig. 7).


Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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