William Augusto Casteleins1*, Fernanda Cristina Arenas2, Sofia Kristhine Pesch Kruklis2, Amanda dos Santos Tiodozio2, Julia Gabriela Oliveira Marchiori2, Kamila Moreira Anevan Fagundes2, Louise Nobre Area Lima2, Vitor Mamoru Haida3 and Larissa Luvison Gomes da Silva4
1Surgical Oncologist and General Surgeon, MD, MSc, Department of Peritoneal Malignancies, Hospital Marcelino Champagnat, Attending Physician at Centro de Oncologia do Paraná, Tutor at the Pontifical Catholic University of Paraná, Curitiba, Brazil
2Medical Students, Pontifical Catholic University of Paraná, Curitiba, Brazil
3Digestive and General Surgeon, MD, MSc, Department of Peritoneal Malignancies and Department of Gastrointestinal Surgery, Hospital Marcelino Champagnat, Curitiba, Brazil
4Pathologist, MD, Department of Pathology at Hospital Marcelino Champagnat, CITOPAR Laboratory, Curitiba, Brazil
*Corresponding Author: William Augusto Casteleins, Surgical Oncologist and General Surgeon, MD, MSc, Department of Peritoneal Malignancies, Hospital Marcelino Champagnat, Attending Physician at Centro de Oncologia do Paraná, Tutor at the Pontifical Catholic University of Paraná, Curitiba, Brazil.
Received: March 21, 2022; Published: May 5, 2022
Glomic tumors are vascular neoplasms arising from mesenchymal cells contained in glomic bodies. They affect mostly the acral soft tissue and rarely tissues with low concentration of these structures, such as those located in the abdominal cavity. This is the case report of a 78 year-old male patient, who presented with a long lasting abdominal pain, pointed out at the right iliac fossa, whose CT scan images showed a solid-cystic lesion in the mesentery. His surgery was scheduled to March, 2020. However, due to the onset of Sars-CoV-2 pandemic in Brazil, and the interruption by decree, of all non-emergency surgical procedures, including elective oncology ones, his surgery had to be postpone for half a year. He was finally operated in October, 2020. A laparoscopic surgical resection was successfully performed; the entire tumor was removed with no need for enterectomy. For our surprise, the pathological report, including immunohistochemistry staining, was compatible with a glomangioma from the mesenteric fat. No additional treatment was necessary, since it had no features for malignancy, and patient has been followed until today, with a recent CT scan (March, 2022) showing no signs of recurrence. Comparing this case with other scarce reports in literature, we conclude that no harm has been done, by postponing surgery. Although, this is not be followed as a general rule, considering that mesenteric tumors could be of uncertain malignant potential and only an accurate histopathologic analysis of the whole specimen can rule out malignancy.
Keywords: Glomangioma; Glomic Tumors; Glomus; Mesentery; Mesenchymal Neoplasm
Citation: William Augusto Casteleins., et al. “What´s the Harm in Postponing the Surgical Resection of Incidental Mesenteric Tumors? Report on the Management of a Rare Glomic Tumor in the Mesentery". Acta Scientific Clinical Case Reports 3.6 (2022): 03-07 .
Copyright: © 2022 William Augusto Casteleins., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.