Sonographic Evaluation of Fibromatosis (Aggressive Type) Using Color Doppler Interrogation

Taggart, R E; Kavic, Thomas A.

doi:10.1177/8756479303252896

Cited by 5 publications

(4 citation statements)

References 10 publications

(17 reference statements)

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“…Generally, extra-abdominal desmoid tumors occur in deeper limb tissue and have no obvious contact with the tendon sheath or joint capsule. [31][32][33] As with all retrospective studies, this one had limitations. First, a selection bias was a possible confounding factor because all the cases in this study were identified by histopathologic examination.…”

Section: D a Bmentioning

confidence: 99%

The Value of Sonography in Diagnosing Giant Cell Tumors of the Tendon Sheath

Wang

Tang

Luo

2007

Journal of Ultrasound in Medicine

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Objective. The purpose of this study was to evaluate the diagnostic value of sonography in giant cell tumors of the tendon sheath. Methods. Sonographic findings and other clinical records were retrospectively reviewed and analyzed in 30 patients (45 lesions) with pathologically proven giant cell tumors of the tendon sheath. The sonographic findings were compared with those found at surgery. Results. The locations of the tumors included the hand (53.33%), wrist (10%), elbow (3.33%), knee (10%), and foot (23.33%). The sizes of the tumors ranged from 0.4 to 8 cm, with a mean size of 2.6 cm. All the lesions were shown as hypoechoic nodules with homogeneous or heterogeneous echogenicity. Thirty-two lesions (71.11%) had substantial flow, and 13 lesions (28.89%) had minimal flow. Thirty-four lesions were in contact with the tendon sheath; 5 were in contact with the joint; and 6 were in contact with both the tendon sheath and the joint. Bone erosions were found in 4 cases, and bone impressions were found in another 3 cases. Conclusions. Sonography can provide exact information about a tumor and its relationship with the surrounding tissue, which indicates that it can be used as the first method to diagnose a giant cell tumor of the tendon sheath.

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Section: D a Bmentioning

confidence: 99%

The Value of Sonography in Diagnosing Giant Cell Tumors of the Tendon Sheath

Wang

Tang

Luo

2007

Journal of Ultrasound in Medicine

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“…Occasionally marked vascularity may be seen in cases of aggressive fibromatosis. 6 The CT and magnetic resonance imaging are useful imaging techniques, which help in the evaluation of the size, site, and extent of the lesion, as well as for monitoring therapeutic response and assessment of complications. 3,4 On CT scan, desmoids may appear homogeneous or heterogeneous.…”

Section: Discussionmentioning

confidence: 99%

Desmoid Tumor: Rare Abdominal Wall Lump in a Multiparous Woman

Khandelwal¹,

Garg²,

Prabhakar³

et al. 2018

Journal of Postgraduate Medicine, Education and Research

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Background: Desmoids are rare tumors. Abdominal wall desmoids are more common in women of reproductive age, especially postpartum women. Here we present a case of desmoid tumor in a 37-year-old multiparous woman, who came with the complaint of a slowly growing painless abdominal lump. Case report:A 37-year-old multiparous female presented with the complaint of a gradually increasing, painless abdominal lump. On physical examination, a well-defined, firm, mobile mass was palpated in the suprapubic region. Ultrasound revealed a homogeneous hypoechoic lesion in the right anterolateral abdominal wall. Computed tomography (CT) of the abdomen showed a well-defined homogeneous mass in relation to the inferior aspect of right rectus abdominis muscle. These clinical and imaging features were highly suggestive of abdominal wall desmoid, which was confirmed on fine needle aspiration cytology and postoperative tumor histopathology. Discussion: Desmoids are uncommon benign, locally aggressive fibrous lesions that have an insidious course. Conventionally, these are classified as abdominal desmoids (occurring in abdominal wall, mesentery, or retroperitoneum) and extra-abdominal desmoids (affecting shoulder girdle, trunk, lower extremities, etc.). The definitive diagnosis of desmoid has to be established on histopathology. Wide local excision remains the definitive treatment of abdominal wall desmoids. Radiation therapy, chemotherapy, and endocrine therapy are the other treatment options. BACKGROUNDDesmoids are rare tumors. Abdominal wall desmoids are more common in women of reproductive age, especially

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“…Few reports have emphasized the blood flow distribution of desmoid tumors 18 , 19 . In a report by Taggart and Kavic, 19 marked vascularity shown on color Doppler imaging in 2 cases was associated with the more aggressive type of fibromatosis and documented by surgery. In our series, 14 lesions (58.3%) had substantial flow (Figures 2B and 3B), 8 (33.3%) had minimal flow, and 2 (8.3%) that were smaller than 2.0 cm had no flow.…”

Section: Discussionmentioning

confidence: 99%

Sonographic Appearances of Desmoid Tumors

Teng

et al. 2014

J of Ultrasound Medicine

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The medical records of 16 patients (9 female and 7 male; age range, 5-66 years) with 24 lesions that had a histologic diagnosis of desmoid tumors were reviewed at our institution. Six cases were extra-abdominal, 4 intra-abdominal, and 6 in the abdominal wall. Lesions ranged from 1.5 to 18.0 cm in diameter (mean, 6.8 cm). All lesions were solid masses, which appeared hypoechoic, isoechoic, or hyperechoic with homogeneous or heterogeneous echogenicity. Posterior acoustic enhancement was seen in 18 lesions. No lesions showed central necrosis. Most lesions had substantial flow and high resistive index values (>0.70). Sonography can show a desmoid tumor's site, size, contour, margin, echogenicity, homogeneity, vascularity, and resistive index value in detail.

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Sonographic Evaluation of Fibromatosis (Aggressive Type) Using Color Doppler Interrogation

Cited by 5 publications

References 10 publications

The Value of Sonography in Diagnosing Giant Cell Tumors of the Tendon Sheath

The Value of Sonography in Diagnosing Giant Cell Tumors of the Tendon Sheath

Desmoid Tumor: Rare Abdominal Wall Lump in a Multiparous Woman

Sonographic Appearances of Desmoid Tumors

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