Embolization of a large progressive symptomatic desmoid tumor in the rectus muscle of a female patient with multiple sclerosis: a case report

Diebels, Ian; Blockhuys, Magali; Willemsen, Paul; Pirenne, Y

doi:10.1080/00015458.2017.1341147

Cited by 2 publications

(2 citation statements)

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“…В литературных источниках, как российских, так и зарубежных, относительно мало информации о десмоидах прямой мышцы живота, методах их удаления с одномоментной пластикой сетчатым протезом. Ведутся споры о необходимости радикального удаления пораженной мышцы с апоневротическим футляром [1,5,12]. Данный метод не исключал рецидив заболевания, а также приводил к провисанию передней брюшной стенки, резкому ухудшению качества жизни в послеоперационном периоде [1,2].…”

Section: клинический случайunclassified

“…На долю пациентов мужского пола приходится не более 3,5 % всех случаев заболеваний. Десмоиды чаще поражают женщин в возрасте 25-35 лет [1,[3][4][5][6]. Десмоиды относятся к промежуточному типу, они характеризуются местно-деструирующим инвазивным ростом, высоким потенциалом рецидивирования и отсутствием способности к метастазированию.…”

Section: Introductionunclassified

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Removing Rectus Abdominis Muscle Desmoid Tumour with Mesh Implant Reinforcement of Musculoaponeurotic Layer

Мужиков¹,

Еременко²,

Кузнецов³

2020

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. Desmoid fibroma is a rare mesenchymal tumour developing from differentiated fibroblasts and excessive amounts of collagen fibres. This paper presents a clinical case of removal of an anterior abdominal wall neoplasm — a rectus abdominis muscle desmoid tumour, with the following mesh implant reinforcement of the musculoaponeurotic layer.Materials and methods. A 35 year old female patient Ch. was referred to the surgery department of “V nadezhnykh rukakh” hospital in November 2019, with complaints of a neoplasm in the anterior abdominal wall that was causing pain when touched, and dysuria. The patient’s clinical diagnosis was recorded as a neoplasm of the anterior abdominal wall.Results and discussion. The patient underwent further examination and scheduled surgery. The neoplasm was removed completely leaving the surrounding healthy tissues, the anterior abdominal wall was reinforced with a mesh implant. The pathology results matched a rectus abdominis muscle desmoid tumour. Literature offers very little information on anterior abdominal wall neoplasms or procedures for their removal with simultaneous plastic mesh implantation. Cases such as this require further study.Conclusion. A desmoid tumour of the rectus abdominis muscle can be radically removed; the procedure can be combined with the anterior abdominal wall plastic surgery with a mesh implant, making it possible to achieve a pronounced cosmetic effect regardless of the extensive surgical injury.

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Section: клинический случайunclassified

Section: Introductionunclassified

Removing Rectus Abdominis Muscle Desmoid Tumour with Mesh Implant Reinforcement of Musculoaponeurotic Layer

Мужиков¹,

Еременко²,

Кузнецов³

2020

Kreativnaâ hirurgiâ i onkologiâ

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Desmoid fibromatosis: interventional radiology (sometimes) to the rescue for an atypical disease

Garnon,

Cazzato,

Autrusseau

et al. 2024

British Journal of Radiology

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Desmoid fibromatosis is a rare locally aggressive soft tissue tumor that is characterized as benign as it cannot metastasize. It was managed until recently like sarcomas, i.e with radical surgical resection combined or not with radiotherapy. However, this approach was associated with a high rate of recurrence and significant morbidity. The management of this disease has progressively changed to a more conservative approach given the fact that desmoid fibromatosis may spontaneously stop to grow or even shrink in more than half of the cases. Should treatment be required, recent guidelines recommend choosing between systemic therapies, which include principally chemotherapy and tyrosine kinase inhibitors, and local treatments. And this is where the interventional radiologist may have an important role to treat the disease. Various ablation modalities have been reported in the literature to treat desmoid fibromatosis, notably high-intensity focused ultrasound and cryoablation. Results are promising and cryoablation is now mentioned in recent guidelines. The interventional radiologist should nevertheless apprehend the disease in its globality to understand the place of percutaneous treatments among the other therapeutic options. The goal of this review is therefore to present and discuss the role of interventional radiology (IR) in the management of DF.

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Embolization of a large progressive symptomatic desmoid tumor in the rectus muscle of a female patient with multiple sclerosis: a case report

Abstract: Embolization of a primary supplying vessel of a desmoid tumor is a viable treatment option. However, scientific evidence remains limited and further research is mandatory for inclusion in evidence based treatment algorithms.

Cited by 2 publications

References 7 publications

Removing Rectus Abdominis Muscle Desmoid Tumour with Mesh Implant Reinforcement of Musculoaponeurotic Layer

Removing Rectus Abdominis Muscle Desmoid Tumour with Mesh Implant Reinforcement of Musculoaponeurotic Layer

Desmoid fibromatosis: interventional radiology (sometimes) to the rescue for an atypical disease

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