RT Journal Article
SR Electronic
T1 Extraskeletal osteosarcoma, telangiectatic variant arising from the small bowel mesentery
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 958
OP 961
VO 32
IS 9
A1 Hussain, Muhammad I.
A1 Al-Akeely, Mohammed H.
A1 Alam, Mohammed K.
A1 Jasser, Nayel A.
YR 2011
UL http://smj.org.sa/content/32/9/958.abstract
AB Extraskeletal osteosarcoma (EOS) is a highly aggressive and rare malignant soft tissue tumor, characterized by the production of neoplastic osseous tissue without attachment to the bone or periosteum. It rarely involves the visceral organs. Only 3 cases of mesenteric EOS have been reported in English literature. Here, we describe a male patient of 40 years, who was diagnosed to have EOS arising from small bowel mesentery. This patient presented with lower gastrointestinal (GI) bleeding. Upper GI endoscopy and colonoscopy were normal. Computed tomography scan demonstrated a well defined multiloculated mixed density mass lesion measuring about 13x7x7 cm in lower abdomen adjacent to small bowel loops with liver metastasis. Palliative en bloc resection of tumor with adjacent small bowel was performed. The histopathology revealed a telangiectatic type osteosarcoma of mesentery. Diagnosis of EOS, its management and the outcome in context of the current literature are discussed.