Small bowel and lung histiocytic sarcoma revealed by acute peritonitis: A case report with review of literature

Histiocytic sarcoma (HS) is a rare malignant neoplasm showing morphologic and immunohistochemical features of histiocytes. It is characterized typically by extranodal presentation and a poor clinical course, particularly in cases with disseminated disease. This report documents a case of bifocal and...

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Published in:Annals of medicine and surgery Vol. 68; p. 102638
Main Authors: Bellalah, Ahlem, korbi, Ibtissem, Ben Hammouda, Seifeddine, Achour, Asma, Ben Abdeljelil, Nouha, Njima, Manel, Daldoul, Amira, Hadhri, Rim, Njim, Leila, Zakhama, Abdelfatteh
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Abstract Histiocytic sarcoma (HS) is a rare malignant neoplasm showing morphologic and immunohistochemical features of histiocytes. It is characterized typically by extranodal presentation and a poor clinical course, particularly in cases with disseminated disease. This report documents a case of bifocal and aggressive HS in small bowel and lung revealed by acute peritonitis in a 63-year-old man. Despite its rarity, we believe that the correct diagnosis of HS is crucial for clinical treatment and prognostic prediction. The collection of additional cases of HS are important to obtain further progress in prognosis and guide treatment decisions. •Histiocytic sarcoma is a rare malignant neoplasm showing morphologic and immunohistochemical features of histiocytes.•The diagnosis of histiocytic sarcoma can be extremely challenging because histologic overlap with diverse mimics.•Judicious application of immunohistochemical markers is crucial to confirm the diagnosis.•The collection and evaluation of additional cases are pivotal to obtain further progress in prognosis and guide treatment decisions.
AbstractList Histiocytic sarcoma (HS) is a rare malignant neoplasm showing morphologic and immunohistochemical features of histiocytes. It is characterized typically by extranodal presentation and a poor clinical course, particularly in cases with disseminated disease. This report documents a case of bifocal and aggressive HS in small bowel and lung revealed by acute peritonitis in a 63-year-old man. Despite its rarity, we believe that the correct diagnosis of HS is crucial for clinical treatment and prognostic prediction. The collection of additional cases of HS are important to obtain further progress in prognosis and guide treatment decisions. •Histiocytic sarcoma is a rare malignant neoplasm showing morphologic and immunohistochemical features of histiocytes.•The diagnosis of histiocytic sarcoma can be extremely challenging because histologic overlap with diverse mimics.•Judicious application of immunohistochemical markers is crucial to confirm the diagnosis.•The collection and evaluation of additional cases are pivotal to obtain further progress in prognosis and guide treatment decisions.
Histiocytic sarcoma (HS) is a rare malignant neoplasm showing morphologic and immunohistochemical features of histiocytes. It is characterized typically by extranodal presentation and a poor clinical course, particularly in cases with disseminated disease. This report documents a case of bifocal and aggressive HS in small bowel and lung revealed by acute peritonitis in a 63-year-old man. Despite its rarity, we believe that the correct diagnosis of HS is crucial for clinical treatment and prognostic prediction. The collection of additional cases of HS are important to obtain further progress in prognosis and guide treatment decisions.
• Histiocytic sarcoma is a rare malignant neoplasm showing morphologic and immunohistochemical features of histiocytes. • The diagnosis of histiocytic sarcoma can be extremely challenging because histologic overlap with diverse mimics. • Judicious application of immunohistochemical markers is crucial to confirm the diagnosis. • The collection and evaluation of additional cases are pivotal to obtain further progress in prognosis and guide treatment decisions.
ArticleNumber 102638
Author Ben Hammouda, Seifeddine
Zakhama, Abdelfatteh
korbi, Ibtissem
Njima, Manel
Hadhri, Rim
Achour, Asma
Njim, Leila
Ben Abdeljelil, Nouha
Bellalah, Ahlem
Daldoul, Amira
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  givenname: Ibtissem
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  organization: Department of Digestive Surgery, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia
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  orcidid: 0000-0002-9675-1356
  surname: Ben Hammouda
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  givenname: Asma
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  fullname: Zakhama, Abdelfatteh
  organization: Department of Pathology, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia
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Keywords Acute peritonitis
Prognosis
Histiocytic sarcoma
Small intestine
Lung
Language English
License This is an open access article under the CC BY-NC-ND license.
2021 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
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Snippet Histiocytic sarcoma (HS) is a rare malignant neoplasm showing morphologic and immunohistochemical features of histiocytes. It is characterized typically by...
• Histiocytic sarcoma is a rare malignant neoplasm showing morphologic and immunohistochemical features of histiocytes. • The diagnosis of histiocytic sarcoma...
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StartPage 102638
SubjectTerms Acute peritonitis
Case Report
Histiocytic sarcoma
Lung
Prognosis
Small intestine
Title Small bowel and lung histiocytic sarcoma revealed by acute peritonitis: A case report with review of literature
URI https://dx.doi.org/10.1016/j.amsu.2021.102638
https://www.ncbi.nlm.nih.gov/pubmed/34381610
https://pubmed.ncbi.nlm.nih.gov/PMC8339142
Volume 68
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