Incidental Detection of a Rare Pediatric High-Grade Fibrosarcoma in a Post-traumatic Setting: The Conundrum of Intra-Abdominal Hematoma versus Neoplasia
Infantile fibrosarcoma (IF) is a rare malignant fibroblastic tumor that affects infants and young children, occurring most commonly in the extremities. Here, we present a 14-year-old patient with an abdominal mass incidentally detected after a blunt injury to the abdomen. The initial trauma protocol...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2023/3178778 |
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| author | Kamand Khalaj Nikoo Fattahi Allen C. Omo-Ogboi Jaiyeola O. Thomas-Ogunniyi Olanrewaju A. Ogunleye Ashish Khanal Larry A. Kramer |
| author_facet | Kamand Khalaj Nikoo Fattahi Allen C. Omo-Ogboi Jaiyeola O. Thomas-Ogunniyi Olanrewaju A. Ogunleye Ashish Khanal Larry A. Kramer |
| author_sort | Kamand Khalaj |
| collection | DOAJ |
| description | Infantile fibrosarcoma (IF) is a rare malignant fibroblastic tumor that affects infants and young children, occurring most commonly in the extremities. Here, we present a 14-year-old patient with an abdominal mass incidentally detected after a blunt injury to the abdomen. The initial trauma protocol CT revealed a high attenuation mesenteric lesion in the left central abdomen suggestive of mesenteric hematoma. However, the possibility of a solid neoplastic mass lesion could not be excluded. Further evaluation with dynamic contrast-enhanced serial MRI showed a progressive enhancing mass and excluded a hyperacute hematoma with active bleeding. The mass was resected, and histopathological examination and molecular analysis of tumor cells were consistent with a high-grade fibrosarcoma with KMT2D : BCOR fusion. |
| format | Article |
| id | doaj-art-a0659850fbb74bbc9f5a8fe11bfd8bd7 |
| institution | Kabale University |
| issn | 2090-6870 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-a0659850fbb74bbc9f5a8fe11bfd8bd72025-02-03T06:47:29ZengWileyCase Reports in Radiology2090-68702023-01-01202310.1155/2023/3178778Incidental Detection of a Rare Pediatric High-Grade Fibrosarcoma in a Post-traumatic Setting: The Conundrum of Intra-Abdominal Hematoma versus NeoplasiaKamand Khalaj0Nikoo Fattahi1Allen C. Omo-Ogboi2Jaiyeola O. Thomas-Ogunniyi3Olanrewaju A. Ogunleye4Ashish Khanal5Larry A. Kramer6Department of Diagnostic and Interventional ImagingDepartment of Diagnostic and Interventional ImagingDepartment of Pathology and Laboratory MedicineDepartment of Pathology and Laboratory MedicineDepartment of Diagnostic and Interventional ImagingDepartment of Diagnostic and Interventional ImagingDepartment of Diagnostic and Interventional ImagingInfantile fibrosarcoma (IF) is a rare malignant fibroblastic tumor that affects infants and young children, occurring most commonly in the extremities. Here, we present a 14-year-old patient with an abdominal mass incidentally detected after a blunt injury to the abdomen. The initial trauma protocol CT revealed a high attenuation mesenteric lesion in the left central abdomen suggestive of mesenteric hematoma. However, the possibility of a solid neoplastic mass lesion could not be excluded. Further evaluation with dynamic contrast-enhanced serial MRI showed a progressive enhancing mass and excluded a hyperacute hematoma with active bleeding. The mass was resected, and histopathological examination and molecular analysis of tumor cells were consistent with a high-grade fibrosarcoma with KMT2D : BCOR fusion.http://dx.doi.org/10.1155/2023/3178778 |
| spellingShingle | Kamand Khalaj Nikoo Fattahi Allen C. Omo-Ogboi Jaiyeola O. Thomas-Ogunniyi Olanrewaju A. Ogunleye Ashish Khanal Larry A. Kramer Incidental Detection of a Rare Pediatric High-Grade Fibrosarcoma in a Post-traumatic Setting: The Conundrum of Intra-Abdominal Hematoma versus Neoplasia Case Reports in Radiology |
| title | Incidental Detection of a Rare Pediatric High-Grade Fibrosarcoma in a Post-traumatic Setting: The Conundrum of Intra-Abdominal Hematoma versus Neoplasia |
| title_full | Incidental Detection of a Rare Pediatric High-Grade Fibrosarcoma in a Post-traumatic Setting: The Conundrum of Intra-Abdominal Hematoma versus Neoplasia |
| title_fullStr | Incidental Detection of a Rare Pediatric High-Grade Fibrosarcoma in a Post-traumatic Setting: The Conundrum of Intra-Abdominal Hematoma versus Neoplasia |
| title_full_unstemmed | Incidental Detection of a Rare Pediatric High-Grade Fibrosarcoma in a Post-traumatic Setting: The Conundrum of Intra-Abdominal Hematoma versus Neoplasia |
| title_short | Incidental Detection of a Rare Pediatric High-Grade Fibrosarcoma in a Post-traumatic Setting: The Conundrum of Intra-Abdominal Hematoma versus Neoplasia |
| title_sort | incidental detection of a rare pediatric high grade fibrosarcoma in a post traumatic setting the conundrum of intra abdominal hematoma versus neoplasia |
| url | http://dx.doi.org/10.1155/2023/3178778 |
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