title: Diffuse intra-abdominal low grade fibromyxoid sarcoma with hepatic metastases: Case report and review of the literature.
abstract: BACKGROUND
  Low grade fibromyxoid sarcoma (LGFMS)(1) is a rare soft tissue tumor involving deep soft tissues of the extremities and trunk. Abdominal location is extremely uncommon in which the few cases published in the literature are characterized by slow tumoral progression and long recurrence-free intervals.
  
  
  METHODS
  We report the first case of an intra-abdominal LGFMS which was discovered incidentally in a 42-year-old woman presenting diffuse peritoneal nodules and hepatic metastasis on CT and MRI scans.
  
  
  RESULTS
  The patient was successfully treated through conservative measures and remained asymptomatic at the 48 month follow-up.
  
  
  CONCLUSIONS
  This is the first reported case of LGFMS with peritoneal and hepatic metastases. Despite the discovery of an advance disease at exploration, the patient who refused a major surgical operation presents an uneventful follow-up and long term survival.
authors.affiliation: Department of Digestive Surgery, Institut Jules Bordet, Brussels, Belgium.
authors.forename: Jana
authors.initials: J
authors.lastname: Konecna
authors.affiliation: Department of Digestive Surgery, Institut Jules Bordet, Brussels, Belgium. Electronic address: gabriel.liberale@bordet.be.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Liberale
authors.affiliation: Department of Digestive Surgery, Institut Jules Bordet, Brussels, Belgium.
authors.forename: Johnny
authors.initials: J
authors.lastname: Haddad
authors.affiliation: Department of Pathological Anatomy, Institut Jules Bordet, Brussels, Belgium.
authors.forename: Nicolas
authors.initials: N
authors.lastname: de Saint-Aubain
authors.affiliation: Department of Digestive Surgery, Institut Jules Bordet, Brussels, Belgium.
authors.forename: Issam
authors.initials: I
authors.lastname: El Nakadi
keywords: Hepatic metastases; Low grade fibromyxoid sarcoma; Peritoneal metastases; Prognosis; Treatment