Calcifying fibrous tumor
Hanan Elsarraj; Ameer Hamza
Abstract
The patient underwent open small bowel resection, and a 6.5 cm segment of the small bowel was sent to pathology. Grossly, a 2.0 cm tan-pink smooth round submucosal polyploid mass protruding into the lumen, mimicking a gastrointestinal stromal tumor, was identified. The tumor was hard and serially sectioned to reveal a white, calcified cut surface. Microscopically, the tumor appeared hypocellular and composed of scant spindle cells embedded in a dense, hyalinized and calcified collagenous stroma. Immunohistochemical stains for pan-cytokeratin, DOG1, desmin, S100, CD34, and MUC4 were negative, and a diagnosis of the calcifying fibrous tumor was rendered.
This case provides a rare gross specimen image of calcifying fibrous tumor and highlights the importance of knowledge of rare entities in providing an accurate diagnosis for entities that can mimic other lesions.
Keywords
References
1 Rosenthal NS, Abdul-Karim FW. Childhood fibrous tumor with psammoma bodies. Clinicopathologic features in two cases. Arch Pathol Lab Med. 1988;112(8):798-800. PMid:3395217.
2 Montgomery E, Thomas GM, Fletcher CDM, Unni K, Mertens F. Calcifying fibrous tumor. In: Fletcher CDM, Unni K, Martens F, editors. Pathology and genetics of tumours of soft tissue and bone. Lyon: IARC Press; 2002. World Health Organization Classification of Tumours; p. 77-78.
3 Chorti A, Papavramidis TS, Michalopoulos A. Calcifying fibrous tumor: review of 157 patients reported in international literature. Medicine (Baltimore). 2016;95(20):e3690.
4 Larson BK, Dhall D. Calcifying fibrous tumor of the gastrointestinal tract. Arch Pathol Lab Med. 2015;139(7):943-7.
5 Zhou J, Zhou L, Wu S, et al. Clinicopathologic study of calcifying fibrous tumor emphasizing different anatomical distribution and favorable prognosis. BioMed Res Int. 2019;2019:5026860.
6 Mehrad M, LaFramboise WA, Lyons MA, Trejo Bittar HE, Yousem SA. Whole-exome sequencing identifies unique mutations and copy number losses in calcifying fibrous tumor of the pleura: report of 3 cases and review of the literature. Hum Pathol. 2018;78:36-43.
7 Nascimento AF, Ruiz R, Hornick JL, Fletcher CD. Calcifying fibrous ‘pseudotumor’ clinicopathologic study of 15 cases and analysis of its relationship to inflammatory myofibroblastic tumor. Int J Surg Pathol. 2002;10(3):189-96.
Submitted date:
08/16/2022
Accepted date:
09/11/2022
Publication date:
09/20/2022