Pankreatik Kitleyi Taklit Eden Sporadik Mezenterik Fibromatozis Olgusu

Abdominal fibromatozis sporadik, pelvik, mezenterik lezyonlar ile garder sendromunda görülen fibromatozis lezyonlarının hepsi için kullanılmaktadır. Sporadik fibromatozis ise çok daha nadirdir ve literatürde az sayıda vaka bildirilmiştir. 14 yaşında kadın hasta, 2 aydır olan epigastrik bölgede müphem karın ağrısı, dispeptik yakınmalar ve yemeklerden sonra olan kusma nedeni ile başvurdu. Yapılan gastroskopide mideye dıştan bası yapan kitle lezyonuna rastlanması üzerine endoskopik ultrasonografi yapıldı. Pankreas kuyruğundan kaynaklandığı düşünülen 9x5 cm ebadında hiperekoik kitle lezyonu görüldü.Cerrahi olarak kitle eksize edildi. Mezenterik fibromatozis patolojik olarak benign bir tümör özelliği göstermesine rağmen klinik olarak ileri derecede agresif ve nüks oranı oldukça yüksektir. Bu hastalara malign gibi davranıp mümkün olduğunca geniş cerrahi rezeksiyon uygulanmalıdır.

A Case Of Sporadic Mesenteric Fibromatosis Mimicking Pancreatic Mass

The term abdominal fibromatosis refers to sporadic, pelvic, and mesenteric lesions and to all the fibromatosis lesions seen in Gardner’s syndrome. Sporadic fibromatosis, however, is very rarer and literature offers a limited number of cases. The 14-year-old female patient presented to our clinic with complaints of indefinite abdominal pain in the epigastric area for the last 2 months, dyspeptic problems, and vomiting after eating. Upon the patient’s gastroscopy revealed a mass lesion pressuring the stomach, endoscopic ultrasonography was performed. A hyperechoic mass lesion of 9x5 cm thought to have originated from the pancreatic tail was detected. The mass was surgically excised. Although mesenteric fibromatosis shows the characteristics of a benign tumor pathologically, it is extremely aggressive clinically and has a very high rate of recurrence. These patients should be treated like they have malign tumors and surgeons should perform surgical resection as wide as possible

Keywords:

Local recurrence, mesenteric fibromatosis, pancreas,

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