# Undifferentiated Pleomorphic Sarcoma of the Descending Colon: An Infrequent Occurrence

**Authors:** Pir Abdul Ahad Aziz Qureshi, Shah Zeb, Thordur Tryggvason, Arnar Þórisson

PMC · DOI: 10.7759/cureus.61346 · Cureus · 2024-05-30

## TL;DR

A rare case of undifferentiated pleomorphic sarcoma in the colon is reported, highlighting the importance of considering this aggressive cancer in unusual locations.

## Contribution

The novelty lies in documenting a high-grade UPS in the colon, an exceptionally rare site for this malignancy.

## Key findings

- UPS was identified in a 49-year-old woman's descending colon, a rare occurrence.
- The case emphasizes the need to consider UPS in the differential diagnosis of colonic tumors.
- Timely diagnosis of UPS in unusual locations is crucial for effective management.

## Abstract

Undifferentiated pleomorphic sarcoma (UPS), formerly known as malignant fibrous histiocytoma (MFH), constitutes a significant subset of soft-tissue sarcomas. Despite its rarity, UPS poses substantial clinical challenges due to its aggressive behavior and propensity for distant metastasis. Here, we report a rare case of high-grade UPS located in the colon, a site exceptionally uncommon for this malignancy, in a 49-year-old woman. The case also underscores the importance of considering UPS in the differential diagnosis of colonic neoplasms. Understanding the clinical and pathological features of UPS in unusual locations like the large intestine is crucial for timely diagnosis and appropriate management strategies.

## Linked entities

- **Diseases:** undifferentiated pleomorphic sarcoma (MONDO:0002142), malignant fibrous histiocytoma (MONDO:0002142)

## Full-text entities

- **Diseases:** colonic neoplasms (MESH:D003110), malignancy (MESH:D009369), MFH (MESH:D051677), metastasis (MESH:D009362), UPS (MESH:D002277), soft-tissue sarcomas (MESH:D012509)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11214121/full.md

## References

6 references — full list in the complete paper: https://tomesphere.com/paper/PMC11214121/full.md

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Source: https://tomesphere.com/paper/PMC11214121