Case report: Calcifying fibrous tumor presenting as an asymptomatic pelvic mass

Angela A Giardino; Nikhil H Ramaiya; Atul B Shinagare; Jyothi P Jagannathan; Matthew D Stachler; Chandrajit P Raut

doi:10.4103/0971-3026.90700

Indian Journal of Radiology and Imaging, Table of Contents

CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2011; 21(04): 306-308
DOI: 10.4103/0971-3026.90700

Abdominal Radiology

Case report: Calcifying fibrous tumor presenting as an asymptomatic pelvic mass

Authors

Angela A Giardino

Department of Imaging, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02115;Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA
Nikhil H Ramaiya

Department of Imaging, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02115;Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA
Atul B Shinagare

Department of Imaging, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02115;Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA
Jyothi P Jagannathan

Department of Imaging, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02115;Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA
Matthew D Stachler

Departments of Radiology and Pathology, Brigham and Women′s Hospital, 75 Francis Street, Boston, MA 02115; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA
Chandrajit P Raut

Department of Surgery, Brigham and Women′s Hospital, 75 Francis Street, Boston, MA 02115, and Center for Sarcoma and Bone Oncology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02115; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA

Abstract

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Abstract

Calcifying fibrous tumor (CFT) is a rare benign mesenchymal tumor most commonly found in the soft tissues of the extremities and pleura. It is characterized by hyalinized collagenous fibrous tissue, with bland spindle cells, psammomatous or dystrophic calcifications, and focal lymphoplasmacytic infiltrate. CFT of the gastrointestinal tract is exceedingly uncommon. We report a case of CFT arising from the small intestine and associated mesentery; this case was identified incidentally in an otherwise healthy 45-year-old man.

Keywords

Calcifying fibrous tumor - mesentery - small intestine

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References

References
1 Chen K. Familial peritoneal multifocal calcifying fibrous tumor. Am J Clin Pathol 2003;119:811-5.
2 Emanuel P, Qin L, Harpaz N. Calcifying fibrous tumor small intestine. Ann Diagn Pathol 2008;12:138-41.
3 Jo BJ, Yoon SW, Ahn HJ, Kwon SW. Imaging findings of calcifying fibrous tumour of the liver. Br Radiol 2011;84:e31-4.
4 Agaimy A, Bihl MP, Tornillo L, Wünsch PH, Hartmann A, Michal M. Calcifying fibrous tumor of the stomach: Clinicopathologic and molecular study of seven cases with literature review and reappraisal of histogenesis. Am J Surg Pathol 2010; 34:271-8.
5 Faria SC, Iyer RB, Rashid A, Ellis L, Whitman GJ. Desmoid tumor of the small bowel and the mesentery. AJR Am J Roentgenol 2004;183:118.
6 Rana R, Nikolaidis P, Miller F.Calcified gastrointestinal stromal tumor of the sigmoid colon mimicking inspissated barium on CT. AJR Am J Roentgenol 2006;187:W322-3.
7 Lau S, Tam KF, Kam CK, Lui CY, Siu CW, Lam HS, et al. Imaging of gastrointestinal stromal tumour (GIST). Clin Radiol 2004;59:487-98.
8 Lucey BC, Stuhlfaut JW, Soto JA. Mesenteric lymph nodes seen at imaging: Causes and significance. Radiographics 2005;25:351-65.
9 Pantongrag-Brown L, Buetow PC, Carr NJ, Lichtenstein JE, Buck JL. Calcification and fibrosis in mesenteric carcinoid tumor: CT findings and pathologic correlation. Am J Roentgenol 1995;164:387-91.
10 Levy AD, Rimola J, Mehrotra AK, Sobin LH. From the archives of the AFIP: Benign fibrous tumors and tumorlike lesions of the mesentery: Radiologic-pathologic correlation. Radiographics 2006;26:245-64.
11 Choudur HN, Munk PL, Nielson TO, Ryan AG. Primary mesenteric extraskeletal osteosarcoma in the pelvic cavity. Skeletal Radiol 2005;34:649-52.