A case of retroperitoneal desmoid-type fibromatosis that involved the unilateral ureter after gynaecologic surgery

Ono, Hisayo; Hori, Kensuke; Tashima, Lena; Tsuruta, Tomohiko; Nakatsuka, Shin‐ichi; Ito, Kimihiko

doi:10.1016/j.ijscr.2018.03.039

Cited by 9 publications

(10 citation statements)

References 14 publications

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“…Actually, a recent review paper by The Desmoid Tumor Working Group found no documented evidence to support the use of antihormonal therapies or NSAIDs in patients with DF 4 . Regarding tranilast, which has long been considered effective in DF in Japan, it was not taken up in the aforementioned review paper because no case series have been reported, and only 2 cases were previously reported in PubMed 26,27 . If the drug can indeed change the “natural course” of DF preoperatively, it would make sense to carry out surgery in the stable or regression phase, thereby reducing the recurrence rate.…”

Section: Discussionmentioning

confidence: 99%

“…4 Regarding tranilast, which has long been considered effective in DF in Japan, it was not taken up in the aforementioned review paper because no case series have been reported, and only 2 cases were previously reported in PubMed. 26,27 If the drug can indeed change the "natural course" of DF preoperatively, it would make sense to carry out surgery in the stable or regression phase, thereby reducing the recurrence rate. In the present study, only 1 patient who remained recurrence-free after surgery had received low-dose MTX + VBL therapy.…”

Section: Discussionmentioning

confidence: 99%

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Risk factors of local recurrence after surgery in extraabdominal desmoid‐type fibromatosis: A multicenter study in Japan

Nishida

Hamada

Kawai³

et al. 2020

Cancer Science

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This study was undertaken to clarify the risk factors, including the mutation status of CTNNB1, for the local recurrence after surgery of the rare disease desmoid‐type fibromatosis. It was designed as a multiinstitutional joint research project with 7 major centers in Japan participating. The committee members of 7 major medical centers specializing in bone and soft tissue tumors formed this study group to develop clinical care guidelines. Of 196 cases with specimens and medical records collected from the 7 institutions, 88 surgically treated ones were analyzed regarding clinicopathologic prognostic factors including CTNNB1 mutation status. Excluding R2 cases (n = 3), 5‐year local recurrence‐free survival (LRFS) was 52.9%. No case had received pre‐ or postoperative radiotherapy. Univariate analysis revealed that extremity location (P < .001) and larger size (8 cm or more, P = .036) were significant adverse risk factors for LRFS. Multivariate analysis indicated that extremity location (P < .001) was a significantly adverse factor in addition to recurrent tumor (P = .041), S45F mutation (P = .028), and R1 surgical margin (P = .039). Preoperative drug treatment, including nonsteroidal antiinflammatory drugs, did not reduce the incidence of local recurrence (P = .199). This is the first study to analyze the factors correlating with outcomes of surgical treatment, including CTNNB1 mutation status, in a relatively large number of cases from an Asian country. Tumor location was found to be the most influential prognostic factor for local recurrence, similar to the results from Europe and North America. The development of more sensitive method(s) for determination of CTNNB1 mutation is a priority for future study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk factors of local recurrence after surgery in extraabdominal desmoid‐type fibromatosis: A multicenter study in Japan

Nishida

Hamada

Kawai³

et al. 2020

Cancer Science

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“…According to available literature, aggressive fibromatosis is a rare tumor of monoclonal fibroblastic proliferation, which is characterized by variable and complicated clinical processes [3, 4], These are divided into three categories depending on their anatomical location: extra-abdominal (60%), abdominal wall (25%), and intra-abdominal (8–15%) [9]. The Intra-abdominal AF often occurs in the small intestinal mesentery, but it can also occur in the posterior peritoneum, ileocolic mesentery, gastrocolic ligament and greater omentum.…”

Section: Discussionmentioning

confidence: 99%

Can ovaries be preserved after an ovarian arteriovenous disconnection? One case report and a review of surgical treatment using Da Vinci robots for aggressive ovarian fibromatosis

Ying

Feng

et al. 2019

J Ovarian Res

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Background The ovary is an important organ of the female reproductive system, which produces oocytes and secretes reproductive hormones. Ovaries have complex dual blood supplies with their blood supply being the core component to protect and ensure ovarian function. Ovarian preservation surgery often encounters problems related to whether or not to preserve ovarian vessels on the affected side. Case presentation This study reports on the case of a 30-year-old female patient with the retroperitoneal fibromatosis that had a history of uterine leiomyoma. During the operation, the ovarian arteries and veins were separated according to what was found during the procedure. A postoperative examination demonstrated good function and morphology of the ovary. Conclusions A thorough review of academic journals combined with our collection of clinical data was conducted, which confirmed the double blood supply source to the ovaries. As a result of this exploration, a new surgical method is being proposed that is designed to protect the ovaries. By conducting this new procedure, the patient’s disease was not only halted and ultimately cured, but results demonstrate that the method was also able to retain the shape and function of the ovary. The postoperative satisfaction of the patient was significantly improved.

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“…Some present as surgical emergencies with bleeding requiring emergency laparotomy . Fibromatosis has also been reported after abdominal surgery for benign tumours, such as uterine myoma , or mimicking recurrent GIST either in the mesentery or the retroperitoneum .…”

Section: Discussionmentioning

confidence: 99%

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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A case of retroperitoneal desmoid-type fibromatosis that involved the unilateral ureter after gynaecologic surgery

Cited by 9 publications

References 14 publications

Risk factors of local recurrence after surgery in extraabdominal desmoid‐type fibromatosis: A multicenter study in Japan

Risk factors of local recurrence after surgery in extraabdominal desmoid‐type fibromatosis: A multicenter study in Japan

Can ovaries be preserved after an ovarian arteriovenous disconnection? One case report and a review of surgical treatment using Da Vinci robots for aggressive ovarian fibromatosis

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

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