PMC6263015_01
CECT abdomen showing large mesenteric mass, not seem to infiltrate surrounding structures.
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Patient was evaluated with PET/CT abdomen which showed FDG avid lesion in mesentery measuring 5*6.4*8.7 cm, metabolically active perilesional and right supraclavicular lymph nodes suspicious of metastasis (Fig. 1, Fig. 2).
PET/CT scan showing FDG avid mass in the mesentery.
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Few enlarged right supraclavicular lymph nodes were excised for biopsy (Fig. 2, Fig. 3, Fig. 4).
Superior mesenteric artery and vein being preserved after the surgery (arrow).
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Few enlarged right supraclavicular lymph nodes were excised for biopsy (Fig. 2, Fig. 3, Fig. 4).
Histopathology slides: a) H&E stain - bland fibroblast like cells in sheets and fascicles, mature fat cells, lymphoplasmacytic infiltrate and reactive lymphoid follicles. b) IHC stain for SMA (smooth muscle actin): Highlights the myofibroblastic nature of the spindle cells.
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In subsequent follow up patient is planned for medical treatment in the form of tamoxifen and steroids (Fig. 5).