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Titolo:
SCLEROSING MESENTERITIS, MESENTERIC PANNICULITIS AND MESENTERIC LIPODYSTROPHY - A SINGLE ENTITY
Autore:
EMORY TS; MONIHAN JM; CARR NJ; SOBIN LH;
Indirizzi:
ARMED FORCES INST PATHOL,DEPT HEPAT & GASTROINTESTINAL PATHOL WASHINGTON DC 20306
Titolo Testata:
The American journal of surgical pathology
fascicolo: 4, volume: 21, anno: 1997,
pagine: 392 - 398
SICI:
0147-5185(1997)21:4<392:SMMPAM>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
PLASMA-CELL GRANULOMAS; TUMOR; FIBROSIS;
Keywords:
MESENTERY; SCLEROSING MESENTERITIS; MESENTERIC LIPODYSTROPHY; MESENTERIC PANNICULITIS; RETRACTILE MESENTERITIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
39
Recensione:
Indirizzi per estratti:
Citazione:
T.S. Emory et al., "SCLEROSING MESENTERITIS, MESENTERIC PANNICULITIS AND MESENTERIC LIPODYSTROPHY - A SINGLE ENTITY", The American journal of surgical pathology, 21(4), 1997, pp. 392-398

Abstract

We reviewed 84 cases coded as mesenteric lipodystrophy (ML), mesenteric panniculitis (MP), or retractile mesenteritis and sclerosing mesenteritis (SM), grading fibrosis, inflammation, and fat necrosis, and evaluating clinical subgroups. There was no gender or racial predominance. Patient age range was 23-87 years (average 60). Patients most often presented with abdominal pain or a palpable mass. A history of trauma or surgery was present in four of 84 patients. The most common site ofinvolvement was the small bowel mesentery as a single mass (58 of 84)with an average size of 10 cm, multiple masses (15 of 84), or diffusemesenteric thickening (11 of 84). All patients had some degree of fibrosis, chronic inflammation, and fat necrosis. Although a few patientsshowed a sufficient prominence of fibrosis, inflammation, or fat necrosis to permit a separation into SM, MP, or Mi,, respectively, in mostpatients these three components were too mixed for a clear separation. The clinical, demographic, and gross features did not help in defining these three entities. Contributors diagnosed 12 as sarcoma. Of 39 patients followed beyond the postoperative period, none died of these lesions. We conclude that SM, MP, and ML appear to represent histologicvariants of one clinical entity, and in most cases ''sclerosing mesenteritis'' is the most appropriate diagnostic term.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 05:26:02