Desmoid Tumor of the Anterior Abdominal Wall in Female Patients: Comparison with Endometriosis

In female patients presenting a tumor of the lower abdominal wall especially after cesarian section, an endometriotic tumor as well as an aggressive desmoid tumor should be considered. Symptoms in correlation with the monthly period can facilitate the presurgical differentiation between endometriosis and fibromatosis. Ultrasound reveals the typical location of both tumors and its remarkable sonographic appearance. In the clinical practice, the desmoid fibromatosis of the lower abdominal wall is a very rare disease. We present a case of a 25-year-old pregnant and discuss diagnostic and therapeutic options by a PubMed literature review. With the knowledge of the prognosis of the desmoid fibromatosis and the respective treatment options including wait and see, complete surgical resection with macroscopically free margins and adjuvant approaches is essential to avoid further interventions and progression of the locally destructive tumor.

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Desmoid Fibromatosis of the Lower Abdominal Wall in Irrua Nigeria

Nigerian Journal of Surgery ◽

10.4103/njs.njs_8_17 ◽

2018 ◽

Vol 24 (1) ◽

pp. 52

Author(s):

OluwafemiOlasupo Awe ◽

Sylvester Eluehike

Keyword(s):

Abdominal Wall ◽

Desmoid Fibromatosis ◽

Lower Abdominal Wall

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Desmoid tumor of the neck: a case report

Revista Eletrônica Acervo Saúde ◽

10.25248/reas.e3582.2020 ◽

2020 ◽

Vol 12 (11) ◽

pp. e3582

Author(s):

Luigi Ferreira E Silva ◽

Victor Luigi Oliveira De Franco ◽

Ana Luiza Lopes de Freitas Freire ◽

Cecília Leite Gomes ◽

Karlla Lorenna Dos Santos Anjos ◽

...

Keyword(s):

Case Report ◽

Desmoid Tumor ◽

Treatment Options ◽

Large Mass ◽

Cervical Region ◽

Beta Catenin ◽

Desmoid Fibromatosis ◽

Paravertebral Muscles ◽

Progressive Growth ◽

Complete Tumor

Objective: To report a case of Desmoid Tumor in the cervical region. Case Report: A case of a large mass in the cervical region of a patient with progressive growth, neck pain and some move restriction, without other comorbidities. Imaging, histopathologic and immunohistochemical study were needed for diagnosis, surgical treatment and postoperative care. Imaging showed a 12.6 x 5.7 x 5.8cm tumor, T1-weighted muscle isointense and T2-weighted hyperintense heterogeneous core, close to paravertebral muscles and pushing left sternocleidomastoid muscle laterally. The chosen treatment was complete tumor exeresis. Immunohistochemistry revealed myofibroblastic neoplasm compatible with desmoid fibromatosis with positivity for nuclear beta-catenin. Final Considerations: Large benign and infiltrative tumors need to be well conducted. It is essential that otolaryngologists are aware of the nature of these cases, differential diagnosis, treatment options and their possible complications, because eventually cases like this may appear requiring special care.

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Desmoid Tumor: Rare Abdominal Wall Lump in a Multiparous Woman

Journal of Postgraduate Medicine Education and Research ◽

10.5005/jp-journals-10028-1271 ◽

2018 ◽

Vol 52 (1) ◽

pp. 31-33

Author(s):

Niranjan Khandelwal ◽

Mandeep Garg ◽

Nidhi Prabhakar ◽

Divya Dahiya

Keyword(s):

Abdominal Wall ◽

Desmoid Tumor ◽

Treatment Options ◽

Shoulder Girdle ◽

Needle Aspiration ◽

Reproductive Age ◽

Definitive Treatment ◽

Imaging Features ◽

Multiparous Woman ◽

Inferior Aspect

ABSTRACT 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. How to cite this article Garg M, Prabhakar N, Prakash M, Dahiya D, Khandelwal N. Desmoid Tumor: Rare Abdominal Wall Lump in a Multiparous Woman. J Postgrad Med Edu Res 2018;52(1):31-33.

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