Desmoids in these areas may cause unique clinical problems for. These tumors typically appear as welldifferentiated growths of fibrocollagenous tissue that are locally infiltrative and aggressive. Intraabdominal and abdominal wall desmoid fibromatosis. O tumor desmoide geralmente nao causa sintomas, quando presente, o mais comum e a dor. A classic presentation of desmoid includes a postpartum woman with an abdominal wall mass. Treatment for a tumor depends upon its location and characteristics, as well as the patients preferences. The majority of cases of abdominal wall desmoid tumor are sporadic in nature, but there are several associated factors. Td extrabdominales miembros, tronco, cabeza y cuello, pared toracicaabdominal y td. Some tumors dont grow, and some even get smaller on their own. Tumor desmoide e um tumor benigno raro, originado do tecido conjuntivo.
They are rare tumors, thought to account for only 0. For the musculoskeletal presentation, please refer to the latter. Church 6 sugere tratamento do tumor desmoide intraabdominal na fap com sulindac, 150 mg duas vezes ao dia. We report a case of a patient who suffered an extraabdominal desmoid tumor in her left knee that arose as a painful bump. The ct revealed an ovariantumor, combined with a right abdominal wall tumor of unknown dignity.
Mar 05, 2018 abdominal desmoid tumor is a type of desmoid tumor that involves the abdominal wall. These tumors may occur throughout the body, but are commonly found on the abdominal wall and within the intestinal mesentery. A desmoid tumor is an abnormal growth that arises from connective tissue, which is the tissue that provides strength and flexibility to structures such as bones, ligaments, and muscles. Aggressive fibromatosis, deep fibromatosis, desmoid tumor, fibrosarcoma, muscleaponeurotic. Development of desmoids is most commonly associated with genetic predisposition, pregnancy, hormonal exposure, and physical factors such as trauma andor surgery 6, 7.
The terms desmoid tumor and aggressive fibromatosis are occasionally used synonymously by some authors 9. Desmoid tumors are rare lesions without any metastatic potential but a strong tendency to invade locally and to recur. Abdominal desmoid tumor is a type of desmoid tumor that involves the abdominal wall. The wide edge surgery is the safest choice of treatment for desmoid tumours. The term desmoid, coined by muller in 1838, is derived from the greek word desmos, which means tendonlike desmoid tumors often appear as infiltrative, usually welldifferentiated, firm overgrowths of fibrous tissue, and they are locally aggressive. O tumor desmoide pode ser, ainda, esporadico idiopatico ou familiar. In this case report, our patient presented with right lower quadrant abdominal pain of 6 months duration, and workup eventually revealed a desmoid tumor.
Desmoid tumours, clinico pathological picture, treatment, recurrence, survival. Typically, a single tumor develops, although some people have multiple tumors. Desmoids do not have the ability to metastasize but can cause significant morbidity and mortality by local invasion. The mrt demonstrated the abdominal wall tumor originating from the abdominal transversal muscle and internal abdominal oblique muscle fascia. Tumors that form in the abdominal wall are called abdominal desmoid tumors. Intraabdominal presentations can be associated with mass effect, intestinalobstruction,ormucosalischemia. A metastasis of the ovariantumor, a lymphoma or a sarcoma was discussed as differential diagnosis. Yolanda nunez delgado, macarena eisman hidalgo, pilar gomezangulo montero localizacion. This article will focus on the abdominal presentation of this fibroblastic tumor. Pode ser encontrado em qualquer parte do corpo, embora seja mais comum na parede abdominal, extremidades, quadril e regiao da arteria mesenterica. Jul 09, 2003 the ct revealed an ovarian tumor, combined with a right abdominal wall tumor of unknown dignity.
Extraabdominal desmoid tumor is a type of desmoid tumor that occurs outside the abdomen such as in the limbs and shoulders. The case of a desmoid tumor of the anterior abdominal wall in a 40yearold caucasian man with no relevant family history is presented, describing its appearance on computed. Aggressive fibromatosis, deep fibromatosis, desmoid tumor, fibrosarcoma, muscleaponeurotic fibromatosis. The tumor is present as a mass on the abdomen the cause of tumor formation is general unknown, but several contributory factors that relate to genetic abnormalities, physical trauma, and hormonal issues have been proposed. Abdominal pain and colonic obstruction from an intra. Segun su localizacion, podemos dividirlos en 2 grupos. The extraabdominal appearance is the less common and tumors are frequently located around pelvic or scapular vicinity. These tumors are associated with women of fertile age, especially during and after pregnancy. Desmoid tumors are cytologically bland fibrous neoplasms originating from the musculoaponeurotic structures throughout the body. There are even instances of spontaneous regression. They may occur at any site in the body, outside of the abdomen they can cause a wideranging set of signs and symptoms depending on their location. If youre diagnosed with a desmoid tumor, your doctor will recommend one of the following. Review diagnosis and management of desmoid tumors and. Fappatientsoftenpresent with concomitant intraabdominal and abdominal wall disease 17.
Desmoid fibromatosis is a rare but locally aggressive tumor comprised of myofibroblasts. V 1 tumor desmoide abdominopelvico t 2 n 3 abdominopelvic. Otherwellcharacterized,thoughrare,sitesincludetheheadandneck region18andthebreast19. Mar 26, 2020 ramirez rn, otsuka ny, apel dm, bowen re. A metastasis of the ovarian tumor, a lymphoma or a sarcoma was discussed as differential diagnosis. Nov 08, 2019 extra abdominal desmoid tumor is a type of desmoid tumor that occurs outside the abdomen such as in the limbs and shoulders.
332 227 789 968 1324 7 877 1309 1578 1312 339 26 89 1040 1073 787 940 1100 1356 597 369 354 751 812 622 1350 918 444 1004 1316 267 44 851 150 1152 194 910 554 114