Calcifying fibrous tumor of the ileum resected by single-port laparoscopic surgery: a case report

Surgical Case Reports

Noriyuki Tanaka¹  Eiichi Konishi¹  Yuta Sonobe¹  Hiroki Shimizu²  Eigo Otsuji²  Atsushi Shiozaki²  Jun Kiuchi²  Hitoshi Fujiwara²  Wataru Takaki²  Ryo Morimura²  Kazuma Okamoto²  Tomohiro Arita²  Hirotaka Konishi²  Takeshi Kubota²  Yoshiaki Kuriu²  Hisashi Ikoma²  Kazuya Takabatake²  Yusuke Yamamoto² 

[1] Department of Surgical Pathology, Kyoto Prefectural University of Medicine;Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine;

关键词: Calcifying fibrous tumor;    Ileal neoplasm;    Single-port laparoscopic surgery;   

DOI  :  10.1186/s40792-022-01423-8

来源: DOAJ

【 摘 要 】

Abstract Background Calcifying fibrous tumors (CFTs) are rare benign tumors. Because CFTs sometimes relapse, radical resection with adequate margins is necessary. We report a case of ileal CFT resected using single-port laparoscopic surgery. Case presentation A 33-year-old man presented with chief complaints of abdominal pain and vomiting. Computed tomography demonstrated a 45-mm-sized pelvic mass with partial calcification in the ileum. The patient was diagnosed with an ileal tumor, and partial resection of the ileum was performed using the single-port laparoscopic technique. Pathologic findings revealed hypocellular spindle cells with dense hyalinized collagen, interspersed calcification, and infiltration of lymphoplasmacytic cells. Immunohistochemical analysis showed that the factor XIIIa was positive and other tumor-specific markers were negative. Based on these findings, the tumor was finally diagnosed as a CFT. Conclusions Although CFT is benign, multifocal and recurrent CFTs have been reported. Therefore, careful intraperitoneal observation and curative resection are necessary. Single-port laparoscopic surgery is acceptable, both in terms of curability and minimal invasiveness.

【 授权许可】

Unknown