Multiple mesenteric desmoid tumors after gastrectomy for gastric cancer: A case report and literature review

Yamamoto, Ryusei; Mokuno, Yasuji; Matsubara, Hideo; Kaneko, Hirokazu; Iyomasa, Shinsuke

doi:10.1016/j.ijscr.2018.07.027

Cited by 6 publications

(12 citation statements)

References 19 publications

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“…Tumour markers (CEA, CA 19-9 and CA 125) were measured in the preoperative work-up of these five patients. All were within the normal range, consistent with previous reports [36,37]. In contrast, Okamura et al [35] reported a rise in CEA above the normal range for 27 months post gastrectomy for gastric cancer where a recurrence was suspected, but despite this rise in CEA and the increased PET uptake the lesion was proven histologically to be consistent with fibromatosis.…”

Section: Both Nodules Avidsupporting

confidence: 88%

“…Makis et al [43] have previously reported a desmoid tumour of the ascending colon as PET avid on preoperative work-up, raising a strong suspicion of malignancy and therefore directing decision to proceed with right hemicolectomy. Similarly, Yamamoto et al [37] have reported lesions in which increased PET uptake was concerning for tumour recurrence post gastrectomy for gastric cancer, but subsequent histology demonstrated that the lesions were consistent with fibromatosis. On the other hand, Mizuno et al [7] do not report tumour marker testing or PET scanning in their preoperative work-up for a soft tissue mass suggesting colon cancer recurrence on serial CT surveillance scans.…”

Section: Both Nodules Avidmentioning

confidence: 89%

“…Tumour markers (CEA, CA 19‐9 and CA 125) were measured in the preoperative work‐up of these five patients. All were within the normal range, consistent with previous reports . In contrast, Okamura et al .…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, Yamamoto et al . have reported lesions in which increased PET uptake was concerning for tumour recurrence post gastrectomy for gastric cancer, but subsequent histology demonstrated that the lesions were consistent with fibromatosis. On the other hand, Mizuno et al .…”

Section: Discussionmentioning

confidence: 99%

“…Further reports exist of fibromatosis masquerading as recurrent testicular cancer in the retroperitoneum, left upper abdomen or even in a previous laparoscopic port site [31][32][33]. Intra-abdominal fibromatosis following gastrectomy for gastric cancer has also been reported in the transverse colon mesentery, in the left upper abdomen mimicking lymph node recurrence, in the mesentery of the jejunal pouch or even at multiple sites [34][35][36][37]. With regard to colon cancer, Mizuno et al [7] have reported a case of intra-abdominal fibromatosis mimicking recurrence in the mesentery near the anastomosis following a right hemicolectomy for ascending colon cancer 12 months previously.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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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.

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Section: Both Nodules Avidsupporting

confidence: 88%

Section: Both Nodules Avidmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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Desmoid tumor mimics local recurrence of extremity sarcoma on MRI

Sabharwal

Ahlawat

Levin

et al. 2020

Journal of Surgical Oncology

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Background and Objectives: The development of desmoid fibromatosis after tumor resection may mimic local recurrence. To our knowledge, this phenomenon has not been reported after extremity sarcoma resection. We report four cases of desmoid-type fibromatosis ("desmoid tumors") mimicking local recurrence after extremity sarcoma resection. Methods:We retrospectively reviewed the records of patients treated for extremity sarcoma by our orthopedic oncology service from 2014 to 2019 and identified four patients with biopsy-proven desmoid tumors. We extracted clinical, pathologic, radiographic, and operative data for the primary neoplasms and desmoid tumors. Results: Four patients with postresection surveillance magnetic resonance imaging suspicious for local recurrence underwent further analysis showing desmoid tumors. Patients underwent image-guided needle biopsy, with specimens demonstrating fibromatosis-type histologic characteristics. Two cases were β-catenin positive. Desmoid tumors were managed with observation. No patient had experienced local or distant recurrence of the primary tumor at a mean follow-up of 30 months after resection (range, 23-34 months); none underwent surgery for symptoms of desmoid tumors.Conclusions: Desmoid tumors should be considered part of the differential diagnosis when assessing patients with radiographic concern for postresection local recurrence of extremity bone and soft-tissue sarcoma. An image-guided needle biopsy can inform diagnosis and management. K E Y W O R D S desmoid tumor, local recurrence, magnetic resonance imaging surveillance, sarcoma, tumor resection

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Desmoid tumor occurrence following gastric cancer surgery: A report of two cases

Takamoto,

Nishiwaki,

Mikuriya

et al. 2023

International Journal of Surgery Case Reports

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Multiple mesenteric desmoid tumors after gastrectomy for gastric cancer: A case report and literature review

Cited by 6 publications

References 19 publications

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

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

Desmoid tumor mimics local recurrence of extremity sarcoma on MRI

Desmoid tumor occurrence following gastric cancer surgery: A report of two cases

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