Mesenteric desmoid tumour masquerading as a fat-containing cystic mass

Tan, Cher Heng; Pua, Uei; Liau, Kui Hin; Lee, H Y

doi:10.1259/bjr/68468861

Cited by 12 publications

(11 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Desmoid tumors potentially show cystic changes with medical treatment or abscess formation [4], but a spontaneous cystic change, as described in this case, is extremely rare, with only eight cases reported in the literature (Table 1) [5][6][7][8][9][10][11]. Spontaneous cystic changes could be caused by regression of the tumor associated with the withdrawal of estrogenic stimulation, infection or secondary infarction [11].…”

Section: Discussionmentioning

confidence: 97%

Laparoscopic spleen-preserving distal pancreatectomy for a solid-cystic intraabdominal desmoid tumor at a gastro-pancreatic lesion: a case report

et al. 2020

View full text Add to dashboard Cite

Background: We report a case of an intraabdominal desmoid tumor that occurred at a gastro-pancreatic lesion with spontaneous cystic features, and present the successful laparoscopic resection of the tumor. Case presentation: A 20-mm retroperitoneal cystic mass with a solid component was found adjacent to the stomach and pancreatic body in a 52-year-old woman with no history of familial adenomatous polyposis. Laparoscopic spleen-preserving distal pancreatectomy with wedge resection of the stomach was performed, and complete resection was achieved without intraoperative and postoperative complications. Histopathological examination by immunohistochemistry enabled diagnosis of a desmoid tumor that had originated from the stomach and invaded the pancreatic parenchyma with a spontaneous cystic change. We herein report an extremely rare case of an intraabdominal desmoid tumor with a spontaneous cystic change. Conclusion: Regardless of its rarity, desmoid tumor should be included in the preoperative differential diagnosis of a cystic intraabdominal mass, and laparoscopic function-preserving surgery may be an optimal treatment option.

show abstract

Section: Discussionmentioning

confidence: 97%

Laparoscopic spleen-preserving distal pancreatectomy for a solid-cystic intraabdominal desmoid tumor at a gastro-pancreatic lesion: a case report

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Several case reports have been published whereby fibromatosis presents as an incidental or symptomatic abdominal mass [12,[16][17][18][19][20][21][22][23]. Some present as surgical emergencies with bleeding requiring emergency laparotomy [24,25].…”

Section: Discussionmentioning

confidence: 99%

Not all abdominal masses after colorectal cancer surgery are malignant: intra‐abdominal fibromatosis masquerading as recurrence

et al. 2019

View full text Add to dashboard Cite

Aim Intra‐abdominal fibromatosis is an unusual mesenchymal tumour that can be locally aggressive without any metastatic potential. Fibromatosis may simulate cancer recurrence on imaging surveillance for colorectal cancer follow‐up. The optimal treatment of recurrent peritoneal malignancy is cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). Confirmatory biopsy of lesions suspicious for colorectal cancer recurrence may not be feasible, thereby rendering surgery the safest option. Our aim was to determine the incidence of fibromatosis in a cohort of patients undergoing CRS and HIPEC for suspected colorectal cancer recurrence. Methods One hundred and seventy‐one CRS and HIPEC cases were performed at our Peritoneal Malignancy Institute between February 2007 and October 2018 for colorectal peritoneal metastases and were included in a prospectively maintained database. Results A total of 49 (29%) of 171 cases were performed for primary colorectal cancer with peritoneal metastases, whereas 122 (71%) of 171 cases were performed for suspected colorectal cancer recurrence detected on surveillance imaging after primary colorectal cancer resection. On histological analysis of the resected specimen, five (4.1%) of 122 cases undergoing CRS and HIPEC for colorectal recurrence had fibromatosis. Conclusion Fibromatosis can masquerade as colorectal cancer recurrence. In this series it occurred with an incidence of 4.1% among a cohort of patients undergoing CRS and HIPEC for probable recurrence. Surgical resection may be the only option to confirm the diagnosis and rule out malignancy.

show abstract

“…The differential diagnosis of desmoid tumor includes neuroendocrine tumor, lymphoma, retractile sclerosing mesenteritis, gastrointestinal stromal tumor, and mesenteric metastases (11). Since desmoids scarcely cause necrosis (12) and bleeding (13), cystic formation of desmoids has rarely been reported; indeed, only 13 cases have been published in the English literature, as shown in Table (origin: 12 pancreas and 1 mesenterium) (14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26). Due to its rarity, preoperative diagnoses of solid-cystic desmoids are very difficult, and these lesions are often misdiagnosed as malignant tumors, such as a pancreatic cancer (14-16), a neuroendocrine tumor with cystic changes 17, a cystic neoplasm of the pancreas (18)(19)(20)(21)(22), and an inflamed teratoma (23).…”

Section: ×200) C) the Cystic Wall Was Covered By Flattened Columnar mentioning

confidence: 99%

An Intra-abdominal Solid-cystic Desmoid That Emerged after Distal Gastrectomy

et al. 2019

View full text Add to dashboard Cite

Desmoid is a locally aggressive fibroblastic neoplasm, typically showing a heterogeneous solid mass, and its pathogenesis is multifactorial, including surgical scars. We herein report a rare case of an intra-abdominal desmoid, consisting of solid and cystic components covered with epithelial linings, that emerged after distal gastrectomy. The preoperative diagnosis was inconclusive, so laparotomy was performed. Histopathology of the solid component showed proliferating spindle cells, which were positive for beta-catenin in their nuclei. Clinicians need to bear in mind that desmoids can appear in a solid-cystic form, and immunostaining of betacatenin should be applied for tumors that emerge around postoperative wounds.

show abstract

Mesenteric desmoid tumour masquerading as a fat-containing cystic mass

Cited by 12 publications

References 16 publications

Laparoscopic spleen-preserving distal pancreatectomy for a solid-cystic intraabdominal desmoid tumor at a gastro-pancreatic lesion: a case report

Laparoscopic spleen-preserving distal pancreatectomy for a solid-cystic intraabdominal desmoid tumor at a gastro-pancreatic lesion: a case report

Not all abdominal masses after colorectal cancer surgery are malignant: intra‐abdominal fibromatosis masquerading as recurrence

An Intra-abdominal Solid-cystic Desmoid That Emerged after Distal Gastrectomy

Contact Info

Product

Resources

About