Minimally invasive diagnostic and therapeutic surgery for an intra-abdominal desmoid tumor: A case report

Omi, Makiko; Kanao, Hiroyuki; Aoki, Yoichi; Okamoto, Sanshiro; Takeshima, Nobuhiro

doi:10.1016/j.gore.2020.100560

Cited by 5 publications

(6 citation statements)

References 10 publications

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“…Female gender, estrogen exposure, trauma, such as laparotomy or abdominal injury, adenomatous polyposis gene abnormalities such as familial adenomatous polyposis and Gardner syndrome all seem to be risk factors for development of desmoid tumors. 2,3 Desmoid tumors are rare with an annual incidence of 2-4 cases per million people. They typically are slow growing fibrous soft tissue tumors with a benign behavior.…”

Section: Discussionmentioning

confidence: 99%

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Desmoid-type fibromatosis of transverse mesocolon

Rodrigues

Cardoso²,

Alves³

et al. 2023

Int Surg J

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Desmoid tumors represent a rare disease. The recommendations for treatment and approach of these neoplasms are sparse. There are no specific imaging or clinical features which turns the diagnosis difficult. A 53-year-old male patient presented with complaints of peri-umbilical abdominal pain associated with a palpable mass. CT scan revealed a heterogeneous mass with soft tissue density and well-defined contour with approximately 8.5×7×5.3 cm localized in the mesogastric region with apparent origin in the transverse colon. The purposed etiology was of GIST. Colonoscopy was normal. The patient was submitted to surgery which revealed a mass with bright and smooth surface that was in relation with the mid portion of the transverse colon, we performed a right extended hemicolectomy. The postoperative was uneventful. Pathology evaluation revealed a desmoid-type fibromatosis. The accurate etiology of desmoid tumors is still unknown. Desmoid tumors are rare with an annual incidence of 2-4 cases per million people. They typically are slow growing fibrous soft tissue tumors with a benign behavior, however show local aggressiveness with a high ability for recurrence, complete surgical resection with clear margins is crucial.

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Section: Discussionmentioning

confidence: 99%

“…Hence, complete surgical resection with clear margins is crucial. [2][3][4] At the time of diagnosis, they usually achieve a size of 5.5 cm. The main manifestation is by a mass syndrome that can sometimes be painful.…”

Section: Discussionmentioning

confidence: 99%

Desmoid-type fibromatosis of transverse mesocolon

Rodrigues

Cardoso²,

Alves³

et al. 2023

Int Surg J

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“…This technique is useful for oncological reasons: to repair traumatic injury and in benign cases, for example, resection of desmoid tumor. 1 2 3 It can be performed either openly or laparoscopically. PET/CT readers are quite familiar with multiple pitfalls of FDG uptake and concentration especially in urological context.…”

Section: Discussionmentioning

confidence: 99%

18F-FDG PET/CT Imaging of Boari Flap Mimicking Urothelial Cancer Recurrence

2022

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A 63-year-old man underwent distal ureterectomy as a treatment for urothelial carcinoma of the ureter. Reconstruction of the urinary system was accomplished by tubularizing part of the bladder roof (Boari flap). A year later, metastatic evaluation with 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) showed high metabolic activity in the reconstructed area. Thorough evaluation confirmed the presence of a bladder diverticulum (the Boari flap) with no evidence of malignancy. We present the first 18F-FDG PET/CT images of a Boari flap in the literature.

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“…8 Surgical resection with a sufficient margin is the foundation of the treatment, but neither surgery nor chemotherapy/ radiotherapy constitute the principal therapy .Almost 50% of the desmoid fibromatosis patients experience recurrence after surgery and/or radiotherapy. 9 The present study aims to report a rare case of solid-cystic retroperitoneal MF with multiple skin involvements.…”

Section: Discussionmentioning

confidence: 99%

“…Further, 16% of the pediatric patients with this tumor have adenomatous polyposis coli (APC) mutations, while 85%-90% of the tumors include β-catenin mutations, having a significant correlation with an increased risk of postoperative recurrence. 9 In addition, these tumors could be classified, based on their anatomical location, as intraabdominal, from the deep soft tissues of the abdominal wall, or deep within the extra-abdominal soft tissues. 1 Only 5% of the sporadic tumors are intra-abdominal, but non-sporadic tumors mostly occur intraabdominally or on the abdominal wall.…”

Section: Introductionmentioning

confidence: 99%

A Giant Solid-Cystic Mesenteric Fibromatosis with Unusual Synchronous Skin Fibromatosis

et al. 2021

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Mesenteric fibromatosis (MF) is a rare, locally aggressive tumor without distant metastasis, which has a high recurrence rate. Based on its location, it is classified as intra-abdominal, from abdominal wall, and extra-abdominal. The incidence of cystic-solid, retroperitoneal tumors is very low in comparison to other MF forms. Intra-abdominal MFs are asymptomatic in early stages, but their symptoms appear late in the tumor course. There is no specific imaging finding since radiological diagnosis is mostly impossible. Thus, diagnosis is made histopathologically. Nowadays, there is no consensus about its treatment although surgical resection is widely used. In the present study, a very rare case of cystic-solid retroperitoneal MF associated with separate synchronous skin tumors is reported.

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Minimally invasive diagnostic and therapeutic surgery for an intra-abdominal desmoid tumor: A case report

Cited by 5 publications

References 10 publications

Desmoid-type fibromatosis of transverse mesocolon

Desmoid-type fibromatosis of transverse mesocolon

18F-FDG PET/CT Imaging of Boari Flap Mimicking Urothelial Cancer Recurrence

A Giant Solid-Cystic Mesenteric Fibromatosis with Unusual Synchronous Skin Fibromatosis

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