Retroperitoneal myofibroblastoma in an 88‐year‐old male

Introduction Extramammary myofibroblastomas are extremely rare. Case presentation The patient was an 88‐year‐old male. He presented for evaluation of frequent urination and a “pushing up” sensation from the groin during defecation. Thorough physical and radiographic examinations revealed a retroperi...

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Main Authors: Shogo Watari, Takaharu Ichikawa, Hiromasa Shiraishi, Takafumi Sakuma, Risa Kubota, Norihiro Kusumi, Tomoyasu Tsushima, Keina Nagakita, Yoko Shinno
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12493
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author Shogo Watari
Takaharu Ichikawa
Hiromasa Shiraishi
Takafumi Sakuma
Risa Kubota
Norihiro Kusumi
Tomoyasu Tsushima
Keina Nagakita
Yoko Shinno
author_facet Shogo Watari
Takaharu Ichikawa
Hiromasa Shiraishi
Takafumi Sakuma
Risa Kubota
Norihiro Kusumi
Tomoyasu Tsushima
Keina Nagakita
Yoko Shinno
author_sort Shogo Watari
collection DOAJ
description Introduction Extramammary myofibroblastomas are extremely rare. Case presentation The patient was an 88‐year‐old male. He presented for evaluation of frequent urination and a “pushing up” sensation from the groin during defecation. Thorough physical and radiographic examinations revealed a retroperitoneal tumor on the right side of the rectum. The pathologic examination of the biopsy tissue showed that the tumor was unlikely to be malignant. Nevertheless, the patient was symptomatic and thus underwent a laparoscopic tumor resection through a transperitoneal approach. The tumor was circumscribed with a solid capsule. Based on the pathologic findings, which included immunostaining, the tumor was diagnosed as a myofibroblastoma. There was no evidence of a recurrence 6 months postoperatively. Conclusion We present this case with the clinical course and surgical findings, and discuss the possibility of establishing a preoperative pathologic diagnosis of a myofibroblastoma.
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spelling doaj.art-f999f6a26ec84222ac222de7a28d2b2e2022-12-22T04:03:41ZengWileyIJU Case Reports2577-171X2022-09-015537838210.1002/iju5.12493Retroperitoneal myofibroblastoma in an 88‐year‐old maleShogo Watari0Takaharu Ichikawa1Hiromasa Shiraishi2Takafumi Sakuma3Risa Kubota4Norihiro Kusumi5Tomoyasu Tsushima6Keina Nagakita7Yoko Shinno8Department of Urology National Hospital Organization Okayama Medical Center Okayama JapanDepartment of Urology National Hospital Organization Okayama Medical Center Okayama JapanDepartment of Urology National Hospital Organization Okayama Medical Center Okayama JapanDepartment of Urology National Hospital Organization Okayama Medical Center Okayama JapanDepartment of Urology National Hospital Organization Okayama Medical Center Okayama JapanDepartment of Urology National Hospital Organization Okayama Medical Center Okayama JapanDepartment of Urology National Hospital Organization Okayama Medical Center Okayama JapanDepartment of Pathology National Hospital Organization Okayama Medical Center Okayama JapanDepartment of Pathology National Hospital Organization Okayama Medical Center Okayama JapanIntroduction Extramammary myofibroblastomas are extremely rare. Case presentation The patient was an 88‐year‐old male. He presented for evaluation of frequent urination and a “pushing up” sensation from the groin during defecation. Thorough physical and radiographic examinations revealed a retroperitoneal tumor on the right side of the rectum. The pathologic examination of the biopsy tissue showed that the tumor was unlikely to be malignant. Nevertheless, the patient was symptomatic and thus underwent a laparoscopic tumor resection through a transperitoneal approach. The tumor was circumscribed with a solid capsule. Based on the pathologic findings, which included immunostaining, the tumor was diagnosed as a myofibroblastoma. There was no evidence of a recurrence 6 months postoperatively. Conclusion We present this case with the clinical course and surgical findings, and discuss the possibility of establishing a preoperative pathologic diagnosis of a myofibroblastoma.https://doi.org/10.1002/iju5.12493laparoscopymyofibroblastomapathologyretroperitoneal neoplasmssurgical procedure
spellingShingle Shogo Watari
Takaharu Ichikawa
Hiromasa Shiraishi
Takafumi Sakuma
Risa Kubota
Norihiro Kusumi
Tomoyasu Tsushima
Keina Nagakita
Yoko Shinno
Retroperitoneal myofibroblastoma in an 88‐year‐old male
IJU Case Reports
laparoscopy
myofibroblastoma
pathology
retroperitoneal neoplasms
surgical procedure
title Retroperitoneal myofibroblastoma in an 88‐year‐old male
title_full Retroperitoneal myofibroblastoma in an 88‐year‐old male
title_fullStr Retroperitoneal myofibroblastoma in an 88‐year‐old male
title_full_unstemmed Retroperitoneal myofibroblastoma in an 88‐year‐old male
title_short Retroperitoneal myofibroblastoma in an 88‐year‐old male
title_sort retroperitoneal myofibroblastoma in an 88 year old male
topic laparoscopy
myofibroblastoma
pathology
retroperitoneal neoplasms
surgical procedure
url https://doi.org/10.1002/iju5.12493
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AT takafumisakuma retroperitonealmyofibroblastomainan88yearoldmale
AT risakubota retroperitonealmyofibroblastomainan88yearoldmale
AT norihirokusumi retroperitonealmyofibroblastomainan88yearoldmale
AT tomoyasutsushima retroperitonealmyofibroblastomainan88yearoldmale
AT keinanagakita retroperitonealmyofibroblastomainan88yearoldmale
AT yokoshinno retroperitonealmyofibroblastomainan88yearoldmale