Huge deep fibrous histiocytoma arising from the sigmoid mesocolon

SummaryBenign fibrous histiocytoma is one of the most common mesenchymal neoplasms of the skin, but it rarely occurs in deep soft tissues. Deep fibrous histiocytoma commonly occurs in the lower limbs or the head and neck region. We report an extremely rare case of deep fibrous histiocytoma arising from the sigmoid mesocolon. A 63-year-old woman initially presented with lower abdominal pain. An image study showed a huge heterogeneous pelvic mass with bleeding. The patient was treated successfully by surgery. We review the literature and discuss the clinical presentation, diagnosis, and management of deep fibrous histiocytoma

Multifocal synchronous angiomyolipomas in a kidney and lungs

Angiomyolipoma (AML) is a benign tumor composed of vascular, adipose, and muscle tissues. AML commonly occurs in the kidneys, and is associated with tuberous sclerosis. Different sizes of AML have been reported in the literature. In general, a giant or huge AML usually refers to a tumor size greater than 10 cm in diameter. Several studies have suggested that a giant AML is associated with an increased risk of complications. Herein, we report a case of a giant AML in a 56-year-old patient with abdominal bloating for 6 months. Ultrasound and computed tomography examinations revealed a giant renal AML as well as multiple pulmonary tumors, and thus the patient was scheduled for nephrectomy and pulmonary wedge resection. The resected mass measured 24.6 × 18.4 × 27.3 cm. This report also reviews all previously described cases of large AMLs. Keywords: Angiomyolipoma, Tuberous sclerosis, Nephrectomy, Therapeuti

Long-term Follow-up of Patients With Hernia Using the Hernia-Specific Quality-of-Life Mobile App: Feasibility Questionnaire Study

BackgroundHernia repair is one of the most common surgical procedures; however, the long-term outcomes are seldom reported due to incomplete follow-up. ObjectiveThe aim of this study was to examine the use of a mobile app for the long-term follow-up of hernia recurrence, complication, and quality-of-life perception. MethodsA cloud-based corroborative system drove a mobile app with the HERQL (Hernia-Specific Quality-of-Life) questionnaire built in. Patients who underwent hernia repair were identified from medical records, and an invitation to participate in this study was sent through the post. ResultsThe response rate was 11.89% (311/2615) during the 1-year study period, whereas the recurrence rate was 1.0% (3/311). Causal relationships between symptomatic and functional domains of the HERQL questionnaire were indicated by satisfactory model fit indices and significant regression coefficients derived from structural equational modeling. Regarding patients’ last hernia surgeries, 88.7% (276/311) of the patients reported them to be satisfactory or very satisfactory, 68.5% (213/311) of patients reported no discomfort, and 61.1% (190/311) of patients never experienced mesh foreign body sensation. Subgroup analysis for the most commonly used mesh repairs found that mesh plug repair inevitably resulted in worse symptoms and quality-of-life perception from the group with groin hernias. ConclusionsThe mobile app has the potential to enhance the quality of care for patients with hernia and facilitate outcomes research with more complete follow-up