Journal of Jilin University(Medicine Edition) ›› 2020, Vol. 46 ›› Issue (04): 858-862.doi: 10.13481/j.1671-587x.20200431

• Clinical medicine • Previous Articles    

Follicular dendritic cell sarcoma of small intestine and ileocecal region: A case report and literature review

ZHOU Dongkui1, LU Mingqian1, FENG Xuesong1, LIU Yufei2, SONG Hao3, XU Liang4   

  1. 1. Department of Oncology, Yichang Central People's Hospital, Hubei Province, First College of Clinical Medical Science, China Three Gorges University, Yichang 443000, China;
    2. Department of Pathology, Yichang Central People's Hospital, Hubei Province, First College of Clinical Medical Science, China Three Gorges University, Yichang 443000, China;
    3. Department of Radiology, Yichang Central People's Hospital, Hubei Province, First College of Clinical Medical Science, China Three Gorges University, Yichang 443000, China;
    4. Department of Ultrasound, Yichang Central People's Hospital, Hubei Province, First College of Clinical Medical Science, China Three Gorges University, Yichang 443000, China
  • Received:2019-11-07 Published:2020-08-20

Abstract: Objective: To analyze the clinical features and diagnosis of the patient with follicular dendritic cell sarcoma(FDCS)in the small intestine and ileocecal region, and to improve the clinicians' awareness of the disease. Methods: The clinical materials of a patient with FDCS in the small intestine and ileocecal region were collected,and the clinical features, diagnosis and treatment were analyzed in combination with the relevant literatures. Results: A 61-year-old woman was admitted to hospital because of dull pain in the lower abdomen for 9 d and discovery of pelvic mass for 5 d.The result of color Doppler of uterus and appendages showed the low echo package in the right side of pelvic cavity, and malignant tumor was highly likely. The abdominal enhancement CT results showed the right lower abdomen-pelvic neoplasm accompanying with implantation metastasis around, and the lymph nodes were enlarged. The results of uterus and attachment enhanced MRI of ulterus and appendages showed the right lower abdomen-pelvic lumpsa and the ileocecal region nodules, and malignant tumor was considered. The patient underwent surgical treatment to remove the tumor completely, and the postoperative pathological diagnosis was FDCS in the small intestine and ileocecal region. The patient did not receive radiotherapy or chemotherapy after operation, and then improved and discharged. Conclusion: FDCS is a rare clinical malignant tumor without specific imaging findings. Surgical resection is the first choice of treatment. The pathological diagnosis and immunohistonchemistry are the golden standard for the diagnosis of FDCS. The FDCS patients should be given regular follow-up after operation.

Key words: follicular dendritic cell sarcoma, small intestine, ileocecal region, computed tomography, magnetic resonance imaging

CLC Number: 

  • R735.3