Reactive Nodular Fibrous Pseudotumor Presenting as a Huge Intraabdominal Mass after Abdominal Surgery: a Case Report

Authors

  • Birgul Ciftci Dept. Of Pathology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
  • Enver Vardar Dept. Of Pathology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
  • Erdinc Top Dept. Of Pathology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
  • Funda Tasli Dept. Of Pathology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
  • Mehmet Yildirim Dept. Of Surgery, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
  • Savas Yakan Dept. Of Surgery, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
Abstract:

Although the majority of mesenchymal lesions of the gastrointestinal tract are neoplastic in nature, but nonneoplastic reactive processes may also involve the gastrointestinal tract and mesentery. Some more aggressive neoplasms located in same area, such as fibromatosis or gastrointestinal stromal  tumors  may  be  cause  of  diagnostic  confusion.  Reactive  nodular  fibrous  pseudo  tumor (RNFP) of the gastrointestinal tract and mesentery is a recently recognized entity. Here we present one such lesion in 71 years-old- man with a history of abdominal surgery. The tumor was firm, tan–white colored, ranged in size 19.5 cm in greatest dimension, and was grossly well circumscribed. Histologically it is composed of spindle-shaped cells resembling fibroblasts arranged haphazardly or in intersecting fascicles, embedded in a collagen-rich stroma with sparse intralesional lymphoid cells frequently arranged in aggregates. We present a case of this entity have largest tumor and also due to the rarity.

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Journal title

volume 10  issue 2

pages  149- 154

publication date 2015-04-01

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