Radical resection of a giant retroperitoneal calcifying fibrous tumor combined with right hepatectomy and reconstruction of the inferior vena cava and bilateral renal veins
Abstract Background We report a case of a giant retroperitoneal calcifying fibrous tumor (CFT) treated by radical tumor resection combined with right hepatectomy and reconstruction of the inferior vena cava (IVC) and bilateral renal veins. Only three case reports of CFT arising in the retroperitoneu...
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Japan Surgical Society
2018-01-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-018-0417-4 |
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| author | Masaki Kimura Hiroki Kato Seishiro Sekino Narihiro Ishida Katsutoshi Murase Katsuya Shimabukuro Takafumi Sekino Kiyoshi Doi Masayuki Matsuo |
| author_facet | Masaki Kimura Hiroki Kato Seishiro Sekino Narihiro Ishida Katsutoshi Murase Katsuya Shimabukuro Takafumi Sekino Kiyoshi Doi Masayuki Matsuo |
| author_sort | Masaki Kimura |
| collection | DOAJ |
| description | Abstract Background We report a case of a giant retroperitoneal calcifying fibrous tumor (CFT) treated by radical tumor resection combined with right hepatectomy and reconstruction of the inferior vena cava (IVC) and bilateral renal veins. Only three case reports of CFT arising in the retroperitoneum have been reported until today. Case presentation In a 19-year-old female patient, computed tomography (CT) images showed a well-demarcated expansile lesion around the IVC accompanied by focal calcification, whereas the IVC that was circumferentially surrounded by the lesion was dilated due to the desmoplastic reaction. On magnetic resonance imaging (MRI), the lesion demonstrated heterogeneous hypointensity on T2-weighted images. Delayed enhancement was observed on dynamic contrast-enhanced CT and MRI. 18F-Fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT images showed increased FDG uptake [maximum standardized uptake values (SUVmax), early image 7.28; delayed image 7.40]. On operative examination, because the tumor adhered to the liver parenchyma, the right Glisson capsule, and the origin of bilateral renal veins, radical tumor resection combined with right hepatectomy and reconstruction of the IVC and bilateral renal veins was performed. Conclusions Radical tumor resection was successfully and appropriately performed for a young patient with a giant retroperitoneal CFT with a view to achieving complete venous reconstruction and safe surgical margins for a potentially malignant tumor. |
| format | Article |
| id | doaj-art-4012d9878e2c4b5b8a55b93f328ebb56 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-4012d9878e2c4b5b8a55b93f328ebb562025-08-20T03:15:43ZengJapan Surgical SocietySurgical Case Reports2198-77932018-01-01411610.1186/s40792-018-0417-4Radical resection of a giant retroperitoneal calcifying fibrous tumor combined with right hepatectomy and reconstruction of the inferior vena cava and bilateral renal veinsMasaki Kimura0Hiroki Kato1Seishiro Sekino2Narihiro Ishida3Katsutoshi Murase4Katsuya Shimabukuro5Takafumi Sekino6Kiyoshi Doi7Masayuki Matsuo8Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu UniversityDepartment of Radiology, Graduate School of Medicine, Gifu UniversityDepartment of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu UniversityDepartment of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu UniversityDepartment of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu UniversityDepartment of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu UniversityDepartment of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu UniversityDepartment of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu UniversityDepartment of Radiology, Graduate School of Medicine, Gifu UniversityAbstract Background We report a case of a giant retroperitoneal calcifying fibrous tumor (CFT) treated by radical tumor resection combined with right hepatectomy and reconstruction of the inferior vena cava (IVC) and bilateral renal veins. Only three case reports of CFT arising in the retroperitoneum have been reported until today. Case presentation In a 19-year-old female patient, computed tomography (CT) images showed a well-demarcated expansile lesion around the IVC accompanied by focal calcification, whereas the IVC that was circumferentially surrounded by the lesion was dilated due to the desmoplastic reaction. On magnetic resonance imaging (MRI), the lesion demonstrated heterogeneous hypointensity on T2-weighted images. Delayed enhancement was observed on dynamic contrast-enhanced CT and MRI. 18F-Fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT images showed increased FDG uptake [maximum standardized uptake values (SUVmax), early image 7.28; delayed image 7.40]. On operative examination, because the tumor adhered to the liver parenchyma, the right Glisson capsule, and the origin of bilateral renal veins, radical tumor resection combined with right hepatectomy and reconstruction of the IVC and bilateral renal veins was performed. Conclusions Radical tumor resection was successfully and appropriately performed for a young patient with a giant retroperitoneal CFT with a view to achieving complete venous reconstruction and safe surgical margins for a potentially malignant tumor.http://link.springer.com/article/10.1186/s40792-018-0417-4Calcifying fibrous tumorRetroperitoneal tumorRadical resectionIVC reconstructionRenal vein reconstruction |
| spellingShingle | Masaki Kimura Hiroki Kato Seishiro Sekino Narihiro Ishida Katsutoshi Murase Katsuya Shimabukuro Takafumi Sekino Kiyoshi Doi Masayuki Matsuo Radical resection of a giant retroperitoneal calcifying fibrous tumor combined with right hepatectomy and reconstruction of the inferior vena cava and bilateral renal veins Surgical Case Reports Calcifying fibrous tumor Retroperitoneal tumor Radical resection IVC reconstruction Renal vein reconstruction |
| title | Radical resection of a giant retroperitoneal calcifying fibrous tumor combined with right hepatectomy and reconstruction of the inferior vena cava and bilateral renal veins |
| title_full | Radical resection of a giant retroperitoneal calcifying fibrous tumor combined with right hepatectomy and reconstruction of the inferior vena cava and bilateral renal veins |
| title_fullStr | Radical resection of a giant retroperitoneal calcifying fibrous tumor combined with right hepatectomy and reconstruction of the inferior vena cava and bilateral renal veins |
| title_full_unstemmed | Radical resection of a giant retroperitoneal calcifying fibrous tumor combined with right hepatectomy and reconstruction of the inferior vena cava and bilateral renal veins |
| title_short | Radical resection of a giant retroperitoneal calcifying fibrous tumor combined with right hepatectomy and reconstruction of the inferior vena cava and bilateral renal veins |
| title_sort | radical resection of a giant retroperitoneal calcifying fibrous tumor combined with right hepatectomy and reconstruction of the inferior vena cava and bilateral renal veins |
| topic | Calcifying fibrous tumor Retroperitoneal tumor Radical resection IVC reconstruction Renal vein reconstruction |
| url | http://link.springer.com/article/10.1186/s40792-018-0417-4 |
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