Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2019; 7(1): 116-121
Published online Jan 6, 2019. doi: 10.12998/wjcc.v7.i1.116
Follicular dendritic cell sarcoma detected in hepatogastric ligament: A case report and review of the literature
Wen-Xin Yan, You-Xi Yu, Ping Zhang, Xing-Kai Liu, Yan Li
Wen-Xin Yan, You-Xi Yu, Ping Zhang, Xing-Kai Liu, Department of Hepatobiliary and Pancreatic Surgery, the First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Yan Li, Department of Surgery, School of Medicine, University of Louisville, Louisville, KY 40202, United States
Author contributions: Yan WX and Yu YX contributed to data collection and analysis, and manuscript drafting; Zhang P contributed to clinical consultant and case interpretation; Liu XK contributed to manuscript design and editing; Li Y contributed to English modification and coordinated with a native English speaker to check English grammar.
Informed consent statement: Informed consent was obtained from patients regarding the use of specimens for case report.
Conflict-of-interest statement: All authors declare to have no conflict of interest.
CARE Checklist (2016) statement: The guidelines of the CARE Checklist (2016) have been adopted.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Xing-Kai Liu, MD, PhD, Department of Hepatobiliary and Pancreatic Surgery, the First Hospital of Jilin University, No. 71 Xinmin Street, Changchun 130021, Jilin Province, China.
Telephone: +86-431-88782222 Fax: +86-431-88782222
Received: August 14, 2018
Peer-review started: August 14, 2018
First decision: October 8, 2018
Revised: October 16, 2018
Accepted: October 22, 2018
Article in press: October 22, 2018
Published online: January 6, 2019
Processing time: 143 Days and 15.4 Hours
Case characteristics

Without any obvious or special clinical symptoms, an enterocoelic mass is found by computed tomography (CT) scanning during an annual physical examination.

Clinical diagnosis

An enterocoelic mass is found by CT.

Differential diagnosis

Using different methods (location, imageology, histopathology) to distinguish it from other tumours.

Laboratory diagnosis

Diagnosis of follicular dendritic cell sarcoma (FDCS) is mainly based on microscopical analysis of cytological features and immunohistochemistry.

Imaging diagnosis

CT can reveal occupying masses.

Pathological diagnosis

Immunohistochemical detection of CD21, CD23 and CD35 are the most accurate indicators that distinguish FDCS from non-FDCS diseases.


Radical resection to remove the tumor.

Term explanation

FDCS: Follicular dendritic cell sarcoma.

Experiences and lessons

FDCS is still an uncommon disease and it is therefore necessary to find more effective diagnostic indicators and better treatment strategies.