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Gastroenterologia Japonica

, Volume 28, Issue 4, pp 554–563 | Cite as

A case of inflammatory malignant fibrous histiocytoma of the colon

  • Ikuo Murata
  • Kazuya Makiyama
  • Kenichi Miyazaki
  • Arthur Sdahiro Kawamoto
  • Noboru Yoshida
  • Koki Muta
  • Minoru Itsuno
  • Kohei Hara
  • Toru Nakagoe
  • Masao Tomita
  • Nobuo Tsuda
Case Reports
  • 28 Downloads

Summary

Primary malignant fibrous histiocytoma seldom occurs in the alimentary tract. This report documents a case in which a 50-year-old man presented with abdominal fullness and anorexia, together with inflammatory reactions such as fever, leukocytosis, an elevated erythrocyte sedimentation rate and positive CRP. Radiologic and endoscopic studies revealed a large mass in the ascending colon. The histology of the resected tumor revealed inflammatory malignant fibrous histiocytoma, a histologie subtype which is rare among not only soft tissue fibrous but also as gastrointestinal histiocytomas. The inflammatory reactions disappeared following resection of the tumor. Although we suspected that the tumor produced granulocyte colony-stimulating factor because of the slightly elevated serum level and the characteristics of the tumor histology, an immunohistochemical study failed to show the G-CSF production by the tumor cells.

Key words

Malignant fibrous histiocytoma Alimentary tract Sarcoma of the colon G-CSF Functioning tumor 

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Copyright information

© The Japanese Society of Gastroenterology 1993

Authors and Affiliations

  • Ikuo Murata
    • 1
  • Kazuya Makiyama
    • 1
  • Kenichi Miyazaki
    • 1
  • Arthur Sdahiro Kawamoto
    • 1
  • Noboru Yoshida
    • 1
  • Koki Muta
    • 1
  • Minoru Itsuno
    • 1
  • Kohei Hara
    • 1
  • Toru Nakagoe
    • 2
  • Masao Tomita
    • 2
  • Nobuo Tsuda
    • 3
  1. 1.Second Department of Internal Medicine, Central Laboratory InstituteNagasaki University School of MedicineNagasakiJapan
  2. 2.First Department of Surgery, Central Laboratory InstituteNagasaki University School of MedicineNagasakiJapan
  3. 3.Division of Pathology, Central Laboratory InstituteNagasaki University School of MedicineNagasakiJapan

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