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Low-grade fibromyxoid sarcoma of the small bowel mesentery: computed tomography and magnetic resonance imaging findings

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Abstract

Low-grade fibromyxoid sarcoma (LGFMS) is a rare tumor that commonly arises in the lower extremities but rarely in the mesentery. We report computed tomography (CT) and magnetic resonance imaging (MRI) findings of LGFMS of the small bowel mesentery. On CT, the mass was composed of two components. One component, on its right side, appeared to have isointense attenuation relative to muscle, whereas the other component, on its left side, appeared to have low attenuation. On MRI the mass on the right side showed hypointensity similar to muscle on both T1-and T2-weighted images as well as mostly slight enhancement on contrast-enhanced T1-weighted images. On the other hand, the mass on the left side showed relative hypointensity on T1-weighted images and hyperintensity on T2-weighted images as well as intense enhancement on contrast-enhanced T1-weighted images, suggesting that the tumor contained myxoid tissue. The myxoid area of LGFMS may have a tendency to reveal intense enhancement on contrast-enhanced images.

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References

  1. Evans HL. Low-grade fibromyxoid sarcoma: a report of two metastasizing neoplasmas having a deceptively benign appearance. Am J Clin Pathol 1987;88:615–619.

    PubMed  CAS  Google Scholar 

  2. Evans HL. Low-grade fibromyxoid sarcoma: a report of 12 cases. Am J Surg Pathol 1993;17:595–600.

    Article  PubMed  CAS  Google Scholar 

  3. Goldblum JR, Weiss SW. Fibrosarcoma. In: Goldblum JR, Weiss SW (eds) Enzinger and Weiss’s soft tissue tumors. 4th edition. St. Louis: Mosby; 2001. p. 425–431.

    Google Scholar 

  4. Oda Y, Takahira T, Kawaguchi K, Yamamoto H, Tamiya S, Matsuda S, et al. Low-grade fibromyxoid sarcoma versus low-grade myxofibrosarcoma in the extremities and trunk: a comparison of clinicopathological and immunohistochemical features. Histopathology 2004;45:29–38.

    Article  PubMed  CAS  Google Scholar 

  5. Fujii S, Yamashita H, Nakanishi J, Ohuchi Y, Kinoshita T, Endo K, et al. Two cases of low-grade fibromyxoid sarcoma Jpn J Clin Radiol 2006;51:539–543 (in Japanese).

    Google Scholar 

  6. Kim SY, Kim MY, Hwang YJ, Han YH, Seo JW, Kim YH, et al. Low-grade fibromyxoid sarcoma: CT, sonography, and MR findings in 3 cases. J Thorac Imaging 2005;20:294–297.

    Article  PubMed  Google Scholar 

  7. Miyake M, Tateishi U, Maeda T, Arai Y, Seki K, Hasegawa T, et al. CT and MRI features of low-grade fibromyxoid sarcoma in the shoulder of a pediatric patient. Radiat Med 2006;24:511–5114.

    Article  PubMed  Google Scholar 

  8. Koh SH, Choe HS, Lee IJ, Park HR, Bae SH. Low-grade fibromyxoid sarcoma: ultrasound and magnetic resonance findings in two cases. Skeletal Radiol 2005;34:550–554.

    Article  PubMed  Google Scholar 

  9. Robbin MR, Murphey MD, Temple HT, Kransdorf MJ, Choi JJ. Imaging of musculoskeletal fibromatosis. Radiographics 2001;21:585–600.

    PubMed  CAS  Google Scholar 

  10. Peterson KK, Renfrew DL, Feddersen RM, Buckwalter JA, el-Khoury GY. Magnetic resonance imaging of myxoid containing tumors. Skeletal Radiol 1991;20:245–250.

    Article  PubMed  CAS  Google Scholar 

  11. Sung MS, Kang HS, Suh F, Kwon ST, Park JG, Suh JS, et al. Myxoid liposarcoma: appearance at MR imaging with histologic correlation. Radiographics 2000;20:1007–1019.

    PubMed  CAS  Google Scholar 

  12. Munk PL, Sallomi DF, Janzen DL, Lee MJ, Connell DG, O’Connell JX, et al. Malignant fibrous histiocytoma of soft tissue imaging with emphasis on MRI. J Comput Assist Tomogr 1998;22:819–826.

    Article  PubMed  CAS  Google Scholar 

  13. Levy AD, Remotti HE, Thompson WM, Sobin LH, Miettinen M. Gastrointestinal stromal tumors: radiologic features with pathologic correlation. Radiographics 2003;23:283–304.

    Article  PubMed  Google Scholar 

  14. Quinn SF, Erickson SJ, Dee PM, Walling A, Hackbarth DA, Knudson GJ, et al. MR imaging in fibromatosis: results in 26 patients with pathologic correlation. AJR Am J Roentgenol 1991;156:539–542.

    PubMed  CAS  Google Scholar 

  15. Takamura M, Murakami T, Kurachi H, Kim T, Enomoto T, Narumi Y, et al. MR imaging of mesenteric hemangioma: a case report. Radiat Med 2000;18:67–69.

    PubMed  CAS  Google Scholar 

  16. Tateishi U, Nishihara H, Morikawa T, Miyasaka K. Solitary fibrous tumor of the pleura: MR appearance and enhancement pattern. J Comput Assist Tomogr 2002;26:174–179.

    Article  PubMed  Google Scholar 

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Correspondence to Shinya Fujii.

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Fujii, S., Kawawa, Y., Horiguchi, S. et al. Low-grade fibromyxoid sarcoma of the small bowel mesentery: computed tomography and magnetic resonance imaging findings. Radiat Med 26, 244–247 (2008). https://doi.org/10.1007/s11604-007-0214-7

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  • DOI: https://doi.org/10.1007/s11604-007-0214-7

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