Korean J Radiol.  2013 Apr;14(2):213-217. 10.3348/kjr.2013.14.2.213.

Follicular Dendritic Cell Sarcoma of the Omentum: Multidetector Computed Tomography Findings

Affiliations
  • 1Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan. wingchan@tmu.edu.tw
  • 2Department of Pathology, School of Medicine, Taipei Medical University, Taipei 110, Taiwan.
  • 3Department of Radiology, School of Medicine, Taipei Medical University, Taipei 110, Taiwan.

Abstract

We report computed tomography (CT) findings for a rare case of follicular dendritic cell sarcoma of the greater omentum from a 47-year-old female patient. The tumor presented ash a palpable mass lesion in the umbilical region for the last two months. Multidetector CT scan of the abdomen showed a 14-cm soft-tissue mass with calcification and necrosis within the greater omentum. As a result, a follicular dendritic cell sarcoma should be considered in the differential diagnosis of a solitary omentum mass, especially one with coarse and chunk-like calcifications.

Keyword

Computed tomography; Follicular dendritic cell sarcoma; Greater omentum; Sarcoma

MeSH Terms

Dendritic Cell Sarcoma, Follicular/pathology/*radiography
Female
Humans
Middle Aged
Multidetector Computed Tomography/*methods
Omentum/pathology/*radiography
Peritoneal Neoplasms/pathology/*radiography

Reference

1. Monda L, Warnke R, Rosai J. A primary lymph node malignancy with features suggestive of dendritic reticulum cell differentiation. A report of 4 cases. Am J Pathol. 1986. 122:562–572.
2. Li CF, Chuang SS, Lin CN. A 70-year-old man with multiple intra-abdominal masses and liver and spleen metastases. Intra-abdominal follicular dendritic cell sarcoma with liver and spleen metastases. Arch Pathol Lab Med. 2005. 129:e130–e131.
3. Yamakawa M, Andoh A, Masuda A, Miyauchi S, Kasajima T, Ohmori A, et al. Follicular dendritic cell sarcoma of the omentum. Virchows Arch. 2002. 440:660–663.
4. Chan JKC. Proliferative lesions of follicular dendritic cells: an overview, including a detailed account of follicular dendritic cell sarcoma, a neoplasm with many faces and uncommon etiologic associations. Adv Anat Pathol. 1997. 4:387–411.
5. Pileri SA, Grogan TM, Harris NL, Banks P, Campo E, Chan JK, et al. Tumours of histiocytes and accessory dendritic cells: an immunohistochemical approach to classification from the International Lymphoma Study Group based on 61 cases. Histopathology. 2002. 41:1–29.
6. Chen TC, Kuo TT, Ng KF. Follicular dendritic cell tumor of the liver: a clinicopathologic and Epstein-Barr virus study of two cases. Mod Pathol. 2001. 14:354–360.
7. Choi JW, Lee JH, Kim A, Kim CH, Chae YS, Kim I. Follicular dendritic cell sarcoma arising in the dura mater of the spine. Arch Pathol Lab Med. 2006. 130:1718–1721.
8. Perez-Ordoñez B, Rosai J. Follicular dendritic cell tumor: review of the entity. Semin Diagn Pathol. 1998. 15:144–154.
9. Kang TW, Lee SJ, Song HJ. Follicular dendritic cell sarcoma of the abdomen: the imaging findings. Korean J Radiol. 2010. 11:239–243.
10. Long-Hua Q, Qin X, Ya-Jia G, Jian W, Xiao-Yuan F. Imaging findings of follicular dendritic cell sarcoma: report of four cases. Korean J Radiol. 2011. 12:122–128.
11. Leipsic JA, McAdams HP, Sporn TA. Follicular dendritic cell sarcoma of the mediastinum. AJR Am J Roentgenol. 2007. 188:W554–W556.
12. Sompayrac SW, Mindelzun RE, Silverman PM, Sze R. The greater omentum. AJR Am J Roentgenol. 1997. 168:683–687.
13. Levy AD, Arnáiz J, Shaw JC, Sobin LH. From the archives of the AFIP: primary peritoneal tumors: imaging features with pathologic correlation. Radiographics. 2008. 28:583–607. quiz 621-622.
14. Kim HC, Lee JM, Kim SH, Kim KW, Lee M, Kim YJ, et al. Primary gastrointestinal stromal tumors in the omentum and mesentery: CT findings and pathologic correlations. AJR Am J Roentgenol. 2004. 182:1463–1467.
Full Text Links
  • KJR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2025 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr