title: Mesenteric myofibroblastic tumor: NSAID therapy after incomplete resection.
abstract: Myofibroblastic tumors are inflammatory tumors that arise in viscera and soft tissue; their etiopathology is poorly understood. They are capable of infiltration of adjacent organs, local recurrence after surgical resection, and even of distant metastasis. These characteristics result in persistent debate as to the nature of these lesions - whether they are inflammatory or neoplastic, benign or malignant lesions? Diagnosis is almost always made based on histopathological findings. Traditional management is complete surgical excision, but this may be difficult or impossible when the lesion develops in proximity to vital structures. We report the case of a 59-year-old man who was treated in our institution for mesenteric myofibroblastic tumor. Complete resection was not possible due to local infiltration of the mesentery. Recurrence was noted 3 months after surgery; treatment with steroidal and then non-steroidal anti-inflammatory medications (NSAIDs) resulted in clinical and radiologic regression of the tumor.
authors.affiliation: Service de chirurgie, hôpital militaire de Ouakam, Dakar, Senegal. dballa33@yahoo.fr
authors.forename: B
authors.initials: B
authors.lastname: Diop
authors.forename: I
authors.initials: I
authors.lastname: Konate
authors.forename: S
authors.initials: S
authors.lastname: Ka
authors.forename: I
authors.initials: I
authors.lastname: Sall
authors.forename: D
authors.initials: D
authors.lastname: Fall
authors.forename: M
authors.initials: M
authors.lastname: Dieng
authors.forename: Y
authors.initials: Y
authors.lastname: Wone
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use*; D008297:Male; D008643:Mesentery / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D018224:Myofibromatosis / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D011241:Prednisone / Q000627:therapeutic use*
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D011241:Prednisone; D007213:Indomethacin