ABSTRACT
Spindle cell sarcoma is a malignant tumor with low incidence. They can occur in the soft tissue, bone, or viscera. The characteristics of morphology, density, and metabolism of spindle cell sarcoma are related to the location of the lesion. A 61-year-old woman presented with vomiting after eating for 2 weeks. Signs of peritoneal irritation were involved, but no response for symptomatic treatment included antiemetic and antispasmodic therapy. Abdominal computed tomography (CT) indicated a mass in the intestinal tract in the pelvic cavity. Then, 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/CT was performed, which interestingly detected a jejunal malignancy mass in the left upper abdomen with annular high uptake of 18F-FDG, which was complicated by intussusception and intestinal obstruction. Finally, the jejunal mass was pathologically clarified as an undifferentiated spindle cell sarcoma.
Keywords:
18F-FDG PET/CT, jejunum, undifferentiated spindle cell sarcoma, intussusception, intestinal obstruction
Ethics
Informed Consent: We obtained informed consent from study subjects for publishing their data.
Authorship Contributions
Concept: X.L., Design: X.L., Data Collection or Processing: H.L., Analysis or Interpretation: H.L., Literature Search: X.L., Writing: H.L.
Conflict of Interest: No conflicts of interest were declared by the authors.
Financial Disclosure: This work was supported by foundation of “Lvyang Jinfeng” talents attracting plan (LYJF00040) and project of Jiangsu provincial health commission (H2023055) and Jiangsu shuangchuang talent as well as the Jiangsu provincial medical key discipline cultivation unit (JSDW202251).
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