Sarcoma fibromixoide de baixo grau em região paratesticular: Um relato de caso

Vinícius Gonçalves de Souza; Aparecida de Lourdes Carvalho; Carla Silva Siqueira Miranda

doi:10.15448/1980-6108.2022.1.43540

Autores

Vinícius Gonçalves de Souza Universidade Federal de Jataí (UFJ), Jataí, GO, Brasil. https://orcid.org/0000-0002-1656-6928
Aparecida de Lourdes Carvalho Universidade Federal de Jataí (UFJ), Jataí, GO, Brasil. https://orcid.org/0000-0001-8165-3633
Carla Silva Siqueira Miranda Universidade Federal de Jataí (UFJ), Jataí, GO, Brasil. https://orcid.org/0000-0002-8749-2284

DOI:

https://doi.org/10.15448/1980-6108.2022.1.43540

Palavras-chave:

sarcoma, patologia, urologia

Resumo

Objetivos: relatar um caso raro de sarcoma fibromixoide de baixo grau (SFMBG) em uma localização incomum de modo a reforçar aspectos histopatológicos e imunoistoquímicos relevantes para o reconhecimento desta entidade e o adequado diagnóstico diferencial de massas paratesticulares.
Relato de caso: homem de 20 anos, com massa escrotal à direita, cuja análise histopatológica demonstrou a presença de tecido fibroso com áreas mixoides e predominância de células fusiformes. A imunoistoquímica foi positiva para vimentina, com índice de Ki67 de 2%, e negativa para S100, CD-34, beta-catenina, desmina e miogenina.
Conclusões: caso raro de SFMBG na região paratesticular que reforça a importância da histopatologia e da imunoistoquímica no diagnóstico desse tumor. Apesar da característica histológica benigna, o SFMBG apresenta altas taxas de recorrência e metástases, sendo essencial o seguimento do paciente.

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Biografia do Autor

Vinícius Gonçalves de Souza, Universidade Federal de Jataí (UFJ), Jataí, GO, Brasil.

Acadêmico de medicina pela Universidade Federal de Jataí (UFJ), em Jataí, GO, Brasil.

Aparecida de Lourdes Carvalho, Universidade Federal de Jataí (UFJ), Jataí, GO, Brasil.

Mestre em Ciências Aplicadas à Saúde pela Universidade Federal de Jataí (UFJ), em Jataí, GO, Brasil; médica patologista. Professora da UFJ, em Jataí, GO, Brasil.

Carla Silva Siqueira Miranda, Universidade Federal de Jataí (UFJ), Jataí, GO, Brasil.

Doutora em Patologia e Estomatologia Básica pela Universidade de São Paulo (USP), em São Paulo, SP, Brasil; cirurgiã-dentista. Professora da Universidade Federal de Jataí (UFJ), em Jataí, GO, Brasil.

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