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Case Reports
. 2003 Sep 24:3:7.
doi: 10.1186/1471-2482-3-7.

Low grade fibromyxoid sarcoma of the falciform ligament: a case report

K Harish  1 , A C Ashok, N K Alva
Affiliations
Case Reports

Low grade fibromyxoid sarcoma of the falciform ligament: a case report

K Harish et al. BMC Surg. .

Abstract

Background: Low grade fibromyxoid sarcomas (LGFMS) are very rarely seen. They commonly arise from deep soft tissues of the lower extremities. Very few cases of intra-abdominal location have been reported.

Case presentation: We report a 37 year old man who presented with an abdominal mass and dragging pain. Pre-operative imaging suggested the possibility of a subcapsular hemangioma of liver.

Conclusions: Laparoscopy was useful to locate the tumor as arising from falciform ligament and made the subsequent surgery simpler. This is one of the large fibromyxoid sarcomas to be reported.

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Figures

Figure 1
Figure 1
Ultrasound study of abdomen showing the mass in close relation to left lobe of liver.
Figure 2
Figure 2
CT scan of the abdomen shows the close relation of mass to abdominal wall and liver. Peripheral enhancement of contrast can also be appreciated.
Figure 3
Figure 3
Post operative specimen showing bosselated appearance with intact capsule (anterior view).
Figure 4
Figure 4
Specimen showing tumor covered with falciform ligament and the tied ligamentum teres which is indicated by bold arrow (posterior view).
Figure 5
Figure 5
Cut section of the tumor showing a fleshy mass with some areas of hemorrhage.
Figure 6
Figure 6
Photomicrograph of the mass showing spindle cells arranged in storiform pattern as seen with low magnification (100X). Staining is done with hematoxylin and eosin.
Figure 7
Figure 7
Photomicrograph of the mass with high magnification (400X). Staining is done with hematoxylin and eosin.
Figure 8
Figure 8
Photomicrograph showing bland spindle shaped cells deposited in a variably fibrous and myxoid stroma (100X). Hematoxylin and eosin stain.
Figure 9
Figure 9
Photomicrograph showing perivascular hypercellularity (400X). Hematoxylin and eosin stain.
Figure 10
Figure 10
Immunohistochemistry: Tumor immunoreactive to vimentin.
Figure 11
Figure 11
Immunohistochemistry: Tumor non reactive with CD 34 (a), CD 68 (b), S 100 (c) and smooth muscle actin (d).
See this image and copyright information in PMC

References

    1. Weiss SW, Goldblum JR. Benign fibrohistiocytic tumors. In: Enzinger FM, Weiss SW Mosby, editor. In Soft tissue tumors. 4. 2001. pp. 409–39.
    1. Evans HL. Low-grade fibromyxoid sarcoma. A report of two metastasizing neoplasms having a deceptively benign appearance. Am J Clin Pathol. 1987;88:615–9. - PubMed
    1. Folpe AL, Lane KL, Paull G, Weiss SW. Low-grade fibromyxoid sarcoma and hyalinizing spindle cell tumor with giant rosettes: a clinicopathologic study of 73 cases supporting their identity and assessing the impact of high-grade areas. Am J Surg Pathol. 2000;24:1353–60. - PubMed
    1. Kataoka Y, Matsuda M, Katsura T, Tanaka K, Ebara H, Yoshida F, Takaba E, Takimoto M. Case of low-grade fibromyxoid sarcoma [in Japanese] Nippon Naika Gakkai Zasshi. 1997;86:1458–60. - PubMed
    1. Canpolat C, Evans HL, Corpron C, Andrassy RJ, Chan K, Eifel P, Elidemir O, Raney B. Fibromyxoid sarcoma in a four-year-old child: case report and review of the literature. Med Pediatr Oncol. 1996;27:561–4. doi: 10.1002/(SICI)1096-911X(199612)27:6<561::AID-MPO10>3.3.CO;2-F. - DOI - PubMed

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