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- Title
Sclerosing epithelioid fibrosarcoma of the cecum: a radiation-associated tumor in a previously unreported site.
- Authors
Frattini, Jared C; Sosa, Julie Ann; Carmack, Susanne; Robert, Marie E
- Abstract
Data from the nuclear reactor explosion in Chernobyl and the atomic bomb detonations in Hiroshima and Nagasaki demonstrated an association between ionizing radiation and tumoriogenesis. There is a significant association between external beam radiation and radiation-induced sarcoma. Sclerosing epithelioid fibrosarcoma is a rare form of malignant fibrosarcoma that is low grade and indolent with distinct immunohistopathologic characteristics that usually occurs in the soft tissues of the extremities. A 62-year-old man from Kiev who aided in the cleanup at Chernobyl presented with crampy abdominal pain, nausea, and vomiting. His workup revealed a cecal mass, and the final pathology from his laparotomy confirmed sclerosing epithelioid fibrosarcoma with metastasis to the liver. In addition to a review of the literature, we report the first case of sclerosing epithelioid fibrosarcoma arising from the large bowel. Exposure to ionizing radiation from Chernobyl could have played a role in the development of his tumor.
- Publication
Archives of pathology & laboratory medicine, 2007, Vol 131, Issue 12, p1825
- ISSN
1543-2165
- Publication type
Journal Article
- DOI
10.5858/2007-131-1825-SEFOTC