Laparoscopic excision for multiple intra-abdominal juvenile fibrosarcoma: A case report. (November 2021)

• Record Type: Journal Article
• Authors: Choi, Hanlim; Choi, Jae-Woon; Ryu, Dong Hee; XU, KangHe; Lee, Jin Young; Woo, Chang Gok
• Is Part Of: International journal of surgery case reports. Volume 88(2021)
• Publication Date: 2021-11
• Subjects: Fibrosarcoma -- Juvenile -- Intra-abdominal -- Laparoscopy -- Surgical excision; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2021.106512
• Languages: English
• ISSNs: 2210-2612

Abstract

Abstract: Introduction and importance: Fibrosarcoma is a rare malignant tumor comprising spindle-shaped fibroblasts exhibiting variable collagen production. Adult-type fibrosarcoma (AFS) mainly occurs in people aged between 30 and 80 years, primarily in the deep soft tissues of the trunk, neck, and extremities, especially in areas surrounding bones. Juvenile fibrosarcoma(JFS) is a type of AFS that occurs in adolescents and rarely develops in the abdominal cavity. Case presentation: A 13-year-old girl presented with right upper quadrant pain for 5 days. Abdomen and pelvis computed tomography showed a 12 × 6-cm, ill-defined, lobulated, solid, cystic mass in the abdominal cavity. On laparoscopy, there were two masses in the abdominal cavity. One abutted the stomach and severely adhered to the gallbladder. The second mass was located between the transverse colon and duodenum, and it was surrounded by the omentum. The tissues surrounding the masses were finely dissected, and the two masses were excised completely. The patient was discharged without complications on post-operative day 7. Clinical discussion: JFS, AFS in adolescents, is a rare malignant tumor. And there have been no reported cases of multiple JFS in abdominal cavity. Surgical excision is the gold standard of treatment for localized AFS, and the laparoscopic approach for minimal tumor handling is beneficial. Conclusion: We describe a rare case of multiple intra-abdominal juvenile fibrosarcoma, managed through laparoscopic surgery. Highlights: Fibrosarcoma is a rare malignant tumor composed of spindle-shaped fibroblasts with variable collagen production. Juvenile fibrosarcoma(JFS) is a type of AFS occurring in adolescents, and it rarely develops in the abdominal cavity. Curative surgical excision is the gold standard treatment for localized fibrosarcoma, and laparoscopic approach is benefitial.