A mesenteric solid tumor with unusual features in a young male: A case report

Ichikawa,Yoshitoshi; Maeda,Tamaki; Mizojiri,Gaku; Ishikawa,Satoshi; Hagi,Takaomi; Hattori,Kimiaki; Oka,Hiroshi

doi:10.3892/mco.2017.1344

A mesenteric solid tumor with unusual features in a young male: A case report

Authors:
- Yoshitoshi Ichikawa
- Tamaki Maeda
- Gaku Mizojiri
- Satoshi Ishikawa
- Takaomi Hagi
- Kimiaki Hattori
- Hiroshi Oka
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Affiliations: Department of Surgery, Moriguchi Keijinkai Hospital, Moriguchi, Osaka 570‑0021, Japan, Department of Pathology, Moriguchi Keijinkai Hospital, Moriguchi, Osaka 570‑0021, Japan
Published online on: July 25, 2017 https://doi.org/10.3892/mco.2017.1344
Pages: 355-358
Copyright: © Ichikawa et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The current study presents a mesenteric mesenchymal tumor case, with unusual features in diagnostic imaging and histology. A 16‑year‑old male was admitted to the hospital with abdominal pain. Computed tomography (CT) revealed an abdominal mass, 2 cm in diameter. The results of contrast‑enhanced CT, magnetic resonance imaging and 18F-fluorodeoxyglucose positron emission tomography indicated no specific features suggestive of its histology. Two arteries branching from the superior mesenteric artery were observed feeding the hypervascular tumor. After endoscopic and other laboratory findings revealed no additional lesions, the lesion was diagnosed as a primary mesenteric tumor. As the possibility of malignancy and future bleeding from this tumor could not be ruled out, a resection of the tumor was performed. During the surgery, the tumor, which was well circumscribed and hypervascular, was located in the mesentery of the jejunum. The resected tumor did not exhibit typical histological characteristics, and was labeled as ‘myxoid smooth muscle neoplasm of uncertain biologic potential’. At 2 years after surgery, the patient remained well without evidence of recurrence. As primary mesenteric tumors are rare, particularly in young patients, it is considered important that this type of unusual tumor be included in the differential diagnosis for mesenteric tumors.

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