Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Dynamic Contrast-Enhanced CT Findings of a Extrapleural Solitary Fibrous Tumor in the Spleen: A Case Report and Literature Review

비장에서 발생한 흉막 외 고립섬유 종양의 역동적 조영증강 CT 소견: 증례 보고 및 문헌 고찰

  • Kim, Tae Keon (Department of Radiology, Eulji University Hospital, Eulji University School of Medicine) ;
  • Han, Hyun Young (Department of Radiology, Eulji University Hospital, Eulji University School of Medicine) ;
  • Kim, Ju Heon (Department of Pathology, Eulji University Hospital, Eulji University School of Medicine)
  • 김태건 (을지대학교 의과대학 을지대학교병원 영상의학과) ;
  • 한현영 (을지대학교 의과대학 을지대학교병원 영상의학과) ;
  • 김주헌 (을지대학교 의과대학 을지대학교병원 병리과)
  • Received : 2017.09.11
  • Accepted : 2018.01.22
  • Published : 2018.06.01
⟨ Previous Next ⟩

Abstract

Extrapleural solitary fibrous tumor, formerly referred to as "hemangiopericytoma" is a rare soft tissue vascular tumor which has elevated malignancy potential arising from the capillary pericytes. Extrapleural solitary fibrous tumors, originating from the spleen, are extremely rare. We report on a rare case of a patient presenting with splenic extrapleural solitary fibrous tumors with intratumoral irregular calcification detected by dynamic contrast-enhanced computed tomography.

혈관 주위 세포종으로 불리던 흉막 외 고립섬유 종양은 높은 악성 잠재력을 갖는 드문 연조직 혈관종양이며 모세혈관의 혈관 주위 세포에서 발생한다. 비장에서 흉막 외 고립섬유 종양은 더욱 드문 것으로 알려져 있다. 비장에서 발생하고 내부에 불규칙한 모양의 석회화를 동반한 흉막 외 고립섬유 종양의 역동적 조영증강 CT 소견을 경험하여 보고하고자 한다.

Keywords

References

  1. Fletcher C, Bridge J, Hogendoorn P, Mertens F. World Health Organization classification of tumours of soft tissue and bone: pathology and genetics of tumours of soft tissue and bone. 4th ed. Lyon: IARC Press, 2013
  2. Jo VY, Fletcher CD. WHO classification of soft tissue tumours: an update based on the 2013 (4th) edition. Pathology 2014;46:95-104 https://doi.org/10.1097/PAT.0000000000000050
  3. Illuminati G, Pizzardi G, Calio F, Pacile MA, Carboni F, Palumbo P, et al. Hemangiopericytoma of the spleen. Int J Surg 2015;15:6-10 https://doi.org/10.1016/j.ijsu.2015.01.018
  4. Maria PS, Mauri M, Carmignani L. A unique cause of hemoperitoneum: spontaneous rupture of a splenic hemangiopericytoma. Int J Emerg Med 2011;4:13 https://doi.org/10.1186/1865-1380-4-13
  5. Guadalajara Jurado J, Turegano Fuentes F, Garcia Menendez C, Larrad Jimenez A, Lopez de la Riva M. Hemangiopericytoma of the spleen. Surgery 1989;106:575-577
  6. Hosotani R, Momoi H, Uchida H, Okabe Y, Kudo M, Todo A, et al. Multiple hemangiopericytomas of the spleen. Am J Gastroenterol 1992;87:1863-1865
  7. Kumar M, Tripathi K, Khanna R, Kumar M, Khanna AK. Hemangiopericytoma of the spleen: unusual presentation as multiple abscess. World J Surg Oncol 2005;3:77 https://doi.org/10.1186/1477-7819-3-77
  8. Abbott RM, Levy AD, Aguilera NS, Gorospe L, Thompson WM. From the archives of the AFIP: primary vascular neoplasms of the spleen: radiologic-pathologic correlation. Radiographics 2004;24:1137-1163 https://doi.org/10.1148/rg.244045006
  9. Wignall OJ, Moskovic EC, Thway K, Thomas JM. Solitary fibrous tumors of the soft tissues: review of the imaging and clinical features with histopathologic correlation. AJR Am J Roentgenol 2010;195:W55-W62 https://doi.org/10.2214/AJR.09.3379
  10. Shanbhogue AK, Prasad SR, Takahashi N, Vikram R, Zaheer A, Sandrasegaran K. Somatic and visceral solitary fibrous tumors in the abdomen and pelvis: cross-sectional imaging spectrum. Radiographics 2011;31:393-408 https://doi.org/10.1148/rg.312105080

Cited by

  1. CT and MRI Features of Solitary Fibrous Tumor of the Liver: A Case Report vol.80, pp.6, 2019, https://doi.org/10.3348/jksr.2019.80.6.1253