Giant Desmoid Tumor of the Anterior Abdominal Wall in a Young Female: A Case Report

Koshariya, Mahim; Shukla, Samir; Khan, Zuber; Vazhayil, Vikas; Singh, Avinash Pratap; Baghel, Puspendra; Pendro, Varun; Jain, Vimla; Jai, Shrikant; Kumar, Sanjeev; Songra, M. C.

doi:10.1155/2013/780862

Cited by 19 publications

(19 citation statements)

References 7 publications

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“…Typically, desmoid tumours do not manifest with cyclical pain imaging, and clinical findings must be closely correlated because the ultrasound appearance of a des moid tumour may closely resemble that of scar endometriosis. On ultrasound, des moid tumours are usually small and hypoechoic with well-defined margins (fig 4) [48].…”

Section: Imaging Ultrasoundmentioning

confidence: 99%

Abdominal wall endometriosis: an update in clinical, imagistic features, and management options

et al. 2017

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Abdominal wall endometriosis (AWE) is a rare condition defined by the presence of endometrial tissue in the subcutaneous fatty layer and the muscles of the abdominal wall. It is usually caused by the dissemination of endometrial tissue in the wound at the time of obstetrical and gynecological surgeries. AWE is rare and difficult to diagnose. The most frequent clinical presentation is that of a palpable subcutaneous mass near surgical scars associated with cyclic pain and swelling during menses. AWE may be an underreported pathology partly because it has scarcely received attention in the radiologic literature. Its frequency is expected to rise along with the increasing rate of cesarean deliveries; thus, it is important that physicians or sonographers are familiar with this pathology. The purpose of our review is to present the latest data regarding risk factors, clinical and imagisticfindings, and management of AWE.

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Section: Imaging Ultrasoundmentioning

confidence: 99%

Abdominal wall endometriosis: an update in clinical, imagistic features, and management options

et al. 2017

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“…Thus, surgical biopsy with complete removal of the lesion, respecting 2 cm of safety margin is the procedure of choice [2]. Histologically, desmoid tumors are characterized by the proliferation of elongated fusiform cells, uniformly arranged in the middle of the stromal collagen, with well-defined nuclei, but without atypia or mitosis [2,7,14].…”

Section: Discussionmentioning

confidence: 99%

“…Difficulties are found during the reconstruction of the abdominal wall, mostly when the peritoneum cannot be preserved. However, immediate repair using surgical meshes allows better aesthetic and functional results [7,15]. The available choices are primary suture, use of meshes, local, regional or distant fasciocutaneous flaps [15].…”

Section: Discussionmentioning

confidence: 99%

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Desmoid Tumor of Rectus Abdominis: Recommendations for the Treatment and Reconstruction of the Parietal Defect

Gomes

2014

J Med Cases

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The desmoid tumor is a connective tissue's neoplasm, derived from fibroblasts, characterized by the absence of histologic changes or biomarkers of aggressiveness. It has a tendency to local invasion as well as to recurrence, and has been described in association with familial adenomatous polyposis (Gardner's syndrome). This disease prevails in pregnant women, during menacme, or during the postpartum. The biologic behavior of the desmoid tumor is unpredictable, which enables heterogeneity in its clinical course. Sometimes, it is possible to observe tumors with a high tendency to relapse even after an adequate surgery with safety margin resection. In other cases, initial growth is followed by a stable clinical course despite any therapeutic modality. When large and located at the rectus abdominis muscle, the surgical treatment represents a challenge, once a monoblock resection leads to severe defects on the abdominal wall. The difficulties found during the reconstruction require experienced teams and, in the majority of cases, the use of fasciocutaneous flaps or news special meshes. We report a case of a large desmoid tumor located at the upper and medium third of the left rectus abdominis, in a 41 years old, Afro-descendent, female patient, submitted to curative resection of the entire muscle segment and simultaneous reconstruction of the abdominal wall by the insertion of a polypropylene light mesh (15 × 12 cm). The patient had an uneventful recovery and was discharged within fourth postoperative days. Clinical control after one year of follow-up showed neither recurrence nor functional or aesthetic complications.

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“…By contrast, sporadic DTs are more likely to be extra-abdominal (4), with only 5% of sporadic DTs located intra-abdominally (5). Other possible triggers for the development of intra-abdominal DTs mentioned in the literature include female gender, childbirth, prior trauma or surgery and estrogen exposure (1,6,7).…”

Section: Introductionmentioning

confidence: 99%

Sporadic giant intra-abdominal desmoid tumor: A radiological case report

Kovačević

Obad-Kovačević

Popić-Ramač

2017

Molecular and Clinical Oncology

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Abstract. Desmoid tumor (DT) is a locally invasive form of fibromatosis, comprising only 0.03% of all tumors. DTs occur more frequently in patients with familial adenomatous polyposis and Gardner's syndrome, as intra-abdominal or anterior abdominal wall tumors, whereas sporadic DTs are more likely to be extra-abdominal (only 5% of sporadic DTs are intra-abdominal). There is also an association of DTs with prior trauma, surgery, estrogen exposure and childbirth. Imaging studies, such as computed tomography (CT) and magnetic resonance imaging (MRI) are used for preoperative diagnosis and for the planning of the surgery. Following surgery, CT and MRI are used to detect recurrence and to monitor the tumor's response to radiotherapy or medical therapy for unresectable or recurrent tumors. We herein report a rare case of a sporadic giant intra-abdominal DT in a 28-year-old female patient without any predisposing factors, and highlight the importance of including DT in the differential diagnosis of huge intra-abdominal masses.

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Giant Desmoid Tumor of the Anterior Abdominal Wall in a Young Female: A Case Report

Cited by 19 publications

References 7 publications

Abdominal wall endometriosis: an update in clinical, imagistic features, and management options

Abdominal wall endometriosis: an update in clinical, imagistic features, and management options

Desmoid Tumor of Rectus Abdominis: Recommendations for the Treatment and Reconstruction of the Parietal Defect

Sporadic giant intra-abdominal desmoid tumor: A radiological case report

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