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KMID : 1188520090050020069
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Korean Journal of Clinical Oncology
2009 Volume.5 No. 2 p.69 ~ p.73
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Low-Grade Fibromyxoid Sarcoma from the Splenic Flexure of Colon
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Kim Yoon-Jung
Kim Kwang-Hee
Kim Ki-Hoon
Park Jeong-Ik
Shin Jin-Yong
Choi Chang-Soo
Choi Young-Kil
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Abstract
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Low-grade fibromyxoid sarcoma is a slowly growing soft tissue tumor that was a histological benignacy but clinical
malignancy. And it is rarely originated from the intraabdominal oragn. A 56-year-old man underwent the radical subtotal
gastrectomy for gastric cancer 32 month ago and the surgical staging was Ia. For 24 month after the operation, the
examination of recurrent cancer was non-specific finding. At 30 month after the operation, a 10×6 cm sized round soft
tissue tumor at LUQ area was identified by abdominopelvic CT. The tumor was turned out a spindle cell tumor by USguided biopsy and extrinsic compressing colonic mass by colonoscopy. The tumor was attached to Lt diaphragm and
the splenic flexttacof colon. Hacunderwent wedge resction of Lt diaphragm and coloectomy for the tumor. The biopsy
reported to the low-grade fibromyxoid sarcoma from the splenic flexttacof colon. After the operation, the PET CT reported
to focal hypermetabolic lesion at colonocolostomy site and the result was regarded as inflammatory lesion rather than
residual tumor. Adjuvant extrabeam radiotherapy (5960 cGy) was carried out for the reduction of local recurrence. And
now he is attending to hospital regularly.
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KEYWORD
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Low-grade fibromyxoid sarcoma
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