Abstract
A 60-year-old female, noted left lower quadrant abdominal pain and genital bleeding, visited a nearly clinic of Gynecology. she was underwent an operation under a diagnosis of adnexal tumor, but was judged to be unresectable. She was referred to the hospital for chemotherapy. CT scan revealed a huge tumor which compressed a kidney, aorta and intestine. Abdominal angiography showed a hypervascular tumor, feeded by right colic artery and ileal artery. On gastrointestinal series and barium-enema, small and large intestines were compressed, without obstruction. From these findings, the tumor was thought to be resectable. The tumor weighed 4800 g and was microscopically diagnosed as malignant fibrous histiocytoma. Further operations of 2 times were necessary in order to resect the local recurrences. It seems that the best treatment option is wide surgical excision because chemotherapy provides little help at present.
