Problems in diagnosis and management of desmoid tumors

Lopez, Richard A.; Kemalyan, Nathan; Moseley, H. Stephens; Dennis, Daniel L.; Vetto, R. Mark

doi:10.1016/s0002-9610(05)81243-7

Cited by 112 publications

(91 citation statements)

References 18 publications

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“…It commonly develops in the anterior abdominal wall and shoulder girdle. A history of trauma (often surgical) to the site of the desmoid tumor is elicited in 1 in 4 cases [3].…”

Section: Discussionmentioning

confidence: 99%

Desmoid Tumor Mimicking Uterine Leiomyoma

Singh¹,

Vaishnav²,

Gopal³

et al. 2013

JCR

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Abstract:Desmoid is a rare tumor caused by abnormal proliferation of fibroblastic cells. The tumor may arise from fascia or/and aponeurosis of muscle. They may reach huge sizes often causing a diagnostic dilemma. Here, we present a rare case of desmoid tumor mimicking broad ligament fibroid, in a 23 year old woman without any known risk factors. Initial investigations attributed to wrong diagnosis of uterine leiomyoma whereas further investigations and surgical exploration revealed it to be a desmoid tumor. The tumor was removed completely with clear margins, and the decision regarding adjuvant chemo/radiotherapy was kept on hold depending upon the recovery and follow up visits. The patient has remained asymptomatic till date. In the case reported here, the patient's only presenting complaint was a painless abdominal mass. This added to the initial difficulty in diagnosis. So, thorough clinical examination keeping in view all the possible presentations of an abdominal mass in women is equally important in all such cases. Residual tumor and recurrence after initial resection may require adjuvant treatment with chemotherapy and/or radiation in addition to repeat surgery. Close follow up of the patient is the key to complete recovery.

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“…It commonly develops in the anterior abdominal wall and shoulder girdle. A history of trauma (often surgical) to the site of the desmoid tumor is elicited in 1 in 4 cases [3].…”

Section: Discussionmentioning

confidence: 99%

Desmoid Tumor Mimicking Uterine Leiomyoma

Singh¹,

Vaishnav²,

Gopal³

et al. 2013

JCR

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“…Desmoids mainly affect premenopausal women and are associated with pregnancy, oral contraceptive use and traumatic events, including surgery, 80% or more develop following colectomy 10 . An antecedent history of trauma at the tumor site was elicited from 28% of patients in series of cases of Lopez at all 11 . Our patient was wrestler.…”

Section: Discussionmentioning

confidence: 99%

Uncommon abdominal wall mass in a young boy: Desmoid tumor

Cankorkmaz¹,

Atalar²,

Eğilmez³

2018

Cumhuriyet Medical Journal

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SUMMARYFibromatosis that arises in musculoaponeurotic structures of the abdominal wall is called abdominal fibromatosis, abdominal desmoid tumor (DT), or aggressive fibromatosis. Fibromatoses occur at various anatomic locations with different clinical features. Abdominal fibromatosis tends to occur in young women. Conversely, in children is an extremely rare condition. Herein, we report the case of a 15-year-old boy with desmoid tumor. He was referred to our department because of a growing painful mass in the right lumbar area. There was no history of known trauma or surgery prior to the time. He was active wrestler. Ultrasonography demonstrated a solid and relatively well-circumscribed mass. Magnetic resonance imaging demonstrated a well-defined tumor originating from the abdominal transversal muscle and internal abdominal oblique muscle fascia. The mass was total excised. The histological diagnosis was desmoid tumor. In conclusion, in child patients presenting a painful tumors of the lower abdominal wall as well as DT should be considered. Recurrent sports trauma during wrestling can be a factor for this tumor, in our case. Keywords: Desmoid tumor, abdominal wall, child ÖZET Karın duvarının kas-aponörotik yapılarından köken alan fibromatozislere abdominal fibromatozis, abdominal desmoid tümör (DT), ya da agressif fibromatozis adı verilir. Fibromatozisler farklı anatomik lokalizasyonlarda farklı klinik özelliklerde olabilirler. DT genç kadınlarda daha sıktır. Çocuklarda ise oldukça ender bir durumdur. Bu yazıda 15 yaşında desmoid tümörlü bir erkek olgu sunuldu. Hasta hastanemize sağ lumbal bölgede büyüyen ağrılı bir kitlenin farkedilmesi üzerine sevk edilmişti. Hastanın öncesinde bilinen bir travma ya da operasyon öyküsü yoktu. Aktif olarak güreş yapmaktaydı. Ultrasonografisinde solid ve göreceli olarak iyi sınırlı kitle saptandı. Manyetik rezonans görüntülemede iyi sınırlı, abdominal transversalis kası ile internal abdominal oblique kasının fasyasından kaynaklanan kitle saptandı. Kitle genel anestezi altında total olarak eksize edildi. Kitlenin histopatolojik incelemesinde desmoid tümör tanısı konuldu. Sonuç olarak lateral abdominal bölgede ağrılı kitle yakınmasıyla başvuran çocuklarda DT de ayırıcı tanıda dikkate alınması gereken bir patolojidir. Olgumuzda güreş sırasındaki yineleyen spor travması bu tümörün gelişiminde bir faktör olabilir diye düşünmekteyiz.

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“…In general population the incidence is 2.4 to 4.3 cases per million [8], but the risk increases 1000 folds in individuals with familial adenomatous polyposis (FAP) occurring as part of an inherited syndrome (Gardner's syndrome) [9]. They can occur anywhere in the body in any skeletal muscle particularly musculoaponeurotic junctions but most commonly seen in rectus abdominis muscles in women of childbearing age associated with pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…A variety of systemic agents like tamoxifen,nonsteroidal and steroidal anti-inflammatory agents,interferon, testalactone and cytotoxic chemotherapeutic agents like doxorubicin, dacarbazine and carboplatin have been reported to produce partial or complete tumour responses when surgery is contraindicated or not feasible [9,10].…”

Section: Discussionmentioning

confidence: 99%

Desmoid Tumours: Our Experience of Six Cases and Review of Literature

Kallam¹

2014

JCDR

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Problems in diagnosis and management of desmoid tumors

Cited by 112 publications

References 18 publications

Desmoid Tumor Mimicking Uterine Leiomyoma

Desmoid Tumor Mimicking Uterine Leiomyoma

Uncommon abdominal wall mass in a young boy: Desmoid tumor

Desmoid Tumours: Our Experience of Six Cases and Review of Literature

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