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A case of inflammatory malignant fibrous histiocytoma of the colon

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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.

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Authors and Affiliations

  1. Second Department of Internal Medicine, Central Laboratory Institute, Nagasaki University School of Medicine, Nagasaki, Japan

    Ikuo Murata M.D., Kazuya Makiyama, Kenichi Miyazaki, Arthur Sdahiro Kawamoto, Noboru Yoshida, Koki Muta, Minoru Itsuno & Kohei Hara

  2. First Department of Surgery, Central Laboratory Institute, Nagasaki University School of Medicine, Nagasaki, Japan

    Toru Nakagoe & Masao Tomita

  3. Division of Pathology, Central Laboratory Institute, Nagasaki University School of Medicine, Nagasaki, Japan

    Nobuo Tsuda

Authors
  1. Ikuo Murata M.D.
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  2. Kazuya Makiyama
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  3. Kenichi Miyazaki
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  4. Arthur Sdahiro Kawamoto
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  5. Noboru Yoshida
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  7. Minoru Itsuno
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Murata, I., Makiyama, K., Miyazaki, K. et al. A case of inflammatory malignant fibrous histiocytoma of the colon. Gastroenterol Jpn 28, 554–563 (1993). https://doi.org/10.1007/BF02776955

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  • DOI: https://doi.org/10.1007/BF02776955

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