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Elliot K. Fishman
Host
MD
The most likely diagnosis in this case,
while I see a mass in the root of the mesentery,
there's calcifications present, there's mass present,
and there's an vascular involvement.
So what can I be thinking of?
Lymphoma doesn't have calcification unless you've been radiated,
so we'll assume that's not the case.
Sclerorosing mesenteritis is a possibility.
Sclerorosing mesenteritis in carcinoy tumors can look the same.
Both of them calcify in about 70% of cases.
Again, with carcinoy tumor,
you're more likely to see increased desmo plastic reaction,
which I see here.
And so carcinoy tumors, the correct answer,
but it's hard to argue with sclerorosing mesenteritis.
So again, this was the case of carcinoy tumor.
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