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<p class="ql-align-justify">Tumor composed of fascicles or whorly bundles of proliferating bland looking spindle cells with fusiform or blunt ended (cigar-shaped) elongated nuclei. There is focal palisading of nuclei. Anaplasia is mild and mitosis is not active. Tumor is seen attached to serosal surface of ileal loop with free resection margins.</p><p class="ql-align-justify">Given age, main possibility for this tumor is smooth muscle tumor. However, for definitive excluding of other possibilities of gastrointestinal stromal tumor (GIST) and peripheral nerve sheath tumor. Marker study <strong>(CD117, Dog-1, CD34, SMA, S100 and Ki-67)</strong> is recommended for definitive typing and assessment of exact biologic behaviors.</p>
<p>Pelviabdominal mass attached to antimsenetric border of ileum.</p>
<p class="ql-align-justify">Single encapsulated soft tissue mass measuring 14.5 x 8 x 7.5 cm, with an attached segment of terminal ileum measuring 1.5 x 2.0 cm. Serial sectioning revealed a solid, firm mass with a gray cut surface measuring 14 x 7.5 x 7 cm. On opening of ileal segment, there is no evidence of mucosal polyps or tumors. The solid tumor mass approaches to within approximately 0.9 cm of the terminal ileum margin.</p>
<p><strong><em><u>Pelviabdominal mass attached to ileal segment, excision:</u></em></strong></p><ul><li class="ql-align-justify"><strong>Bland looking spindle cell tumor.</strong></li><li class="ql-align-justify"><strong> Recommended for marker study for definitive typing and assessment of exact biologic potential.</strong></li><li class="ql-align-justify"><strong>Margins of excision are negative. </strong></li></ul>
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