Neuroendocrine tumors (NETs) extending into the mesentery can evoke a dramatic response that mimics sclerosing mesenteritis, complete with fat necrosis and mineralization. For this reason, when reporting needle biopsies displaying features of sclerosing mesenteritis, it is not a bad idea to report "fibro-inflammatory process" and write a note indicating that occasionally NETs produce this response and that sampling error could be an issue.
Case provided by Dr. Elizabeth Montgomery, Professor of Pathology and Vice Chair of Anatomic Pathology at the University of Miami, and Editor-In-Chief at Innovative Science Press. You can check out our titles at:
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