case_images: PMC6263015_01
case_images: CECT abdomen showing large mesenteric mass, not seem to infiltrate surrounding structures.
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case_images: PMC6263015_01_gr1.jpg
case_images: fig0005
case_images: Patient was evaluated with PET/CT abdomen which showed FDG avid lesion in mesentery measuring 5*6.4*8.7 cm, metabolically active perilesional and right supraclavicular lymph nodes suspicious of metastasis (Fig. 1, Fig. 2).
case_images: PET/CT scan showing FDG avid mass in the mesentery.
case_images: gr2.jpg
case_images: PMC6263015_01_gr2.jpg
case_images: fig0010
case_images: Few enlarged right supraclavicular lymph nodes were excised for biopsy (Fig. 2, Fig. 3, Fig. 4).
case_images: Superior mesenteric artery and vein being preserved after the surgery (arrow).
case_images: gr4.jpg
case_images: PMC6263015_01_gr4.jpg
case_images: fig0020
case_images: Few enlarged right supraclavicular lymph nodes were excised for biopsy (Fig. 2, Fig. 3, Fig. 4).
case_images: Histopathology slides: a) H&E stain - bland fibroblast like cells in sheets and fascicles, mature fat cells, lymphoplasmacytic infiltrate and reactive lymphoid follicles. b) IHC stain for SMA (smooth muscle actin): Highlights the myofibroblastic nature of the spindle cells.
case_images: gr5.jpg
case_images: PMC6263015_01_gr5.jpg
case_images: fig0025
case_images: In subsequent follow up patient is planned for medical treatment in the form of tamoxifen and steroids (Fig. 5).