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CASE REPORT
A Case of Calcifying Fibrous Tumor of the Small Intestine
Treated by Laparoscopic Small Bowel Resection
Yusuke Nishina 1), Haruki Mori 1), Toru Miyake 1), Soichiro Tani 1),
Tomoyuki Ueki 1), Hiroya Iida 1), Sachiko Kaida 1), Tomoharu Shimizu 1),
Yasuhiro Wada 2) and Masaji Tani 1)
2)
1)
Department of Surgery, Shiga University of Medical Science
Department of Pathological Diagnosis, Shiga University of Medical Science
A 65-year-old woman was found to have a white mass on the serosal surface of the small intestine during
laparoscopic sacral vaginal fusion for a cystocele. The patient was diagnosed with a small intestine tumor.
Laparoscopic partial resection of the small intestine was performed. Histopathological examination revealed spindleshaped cells with collagen fibers, scattered calcification, and infiltration of inflammatory cells, such as plasma cells
and lymphocytes. Immunohistochemical examination of the spindle cells in the resected specimen revealed
expression of factor XIIIa. Therefore, the tumor was finally diagnosed as a calcifying fibrous tumor (CFT). The
patient is alive without recurrence at 9 months after surgery.
Key Words: calcifying fibrous tumor, small intestine tumor, laparoscopic surgery
[Jpn J Gastroenterol Surg. 2020;53(11):901-907]
Reprint requests: Haruki Mori Department of Surgery, Shiga University of Medical Science
Seta Tsukinowa-Cho, Otsu, 520-2192 JAPAN
Accepted: June 24, 2020
© 2020 The Japanese Society of Gastroenterological Surgery
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