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A massive abdominal wall desmoid tumor occurring in a laparotomy scar: A case report

INTRODUCTION: Desmoid tumors are benign but locally aggressive tumors of mesenchymal origin which are poorly circumscribed, infiltrate the surrounding tissue, lack a true capsule and are composed of abundant collagen. History of trauma to the site of tumor origin is elicited in up to 1 in 4 cases an...

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Autores principales: Wanjeri, Joseph K, Opeya, Collins JO
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070676/
https://www.ncbi.nlm.nih.gov/pubmed/21426541
http://dx.doi.org/10.1186/1477-7819-9-35
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author Wanjeri, Joseph K
Opeya, Collins JO
author_facet Wanjeri, Joseph K
Opeya, Collins JO
author_sort Wanjeri, Joseph K
collection PubMed
description INTRODUCTION: Desmoid tumors are benign but locally aggressive tumors of mesenchymal origin which are poorly circumscribed, infiltrate the surrounding tissue, lack a true capsule and are composed of abundant collagen. History of trauma to the site of tumor origin is elicited in up to 1 in 4 cases and they most commonly develop in the anterior abdominal wall and shoulder girdle but they can arise in any skeletal muscle. The clinical behavior and natural history of desmoid tumors are unpredictable and management is difficult with many issues remaining controversial, mainly regarding early detection, the role, type and timing of surgery and the value of non-operative therapies. CASE PRESENTATION: We report a case of a 23 year old male referred from a district hospital to a national referral hospital in Kenya, after developing a huge abdominal wall desmoid tumor following laparotomy for a blunt abdominal injury fourteen months earlier. The tumor was successfully excised and the abdominal wall defect reconstructed using a vicryl/prolene mesh and a unilateral groin flap. The patient had a non-eventful recovery and was discharged through radiotherapy clinic. CONCLUSION: Wide margin tumor excision alone is a reasonable option in the management of desmoid tumors.
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spelling pubmed-30706762011-04-05 A massive abdominal wall desmoid tumor occurring in a laparotomy scar: A case report Wanjeri, Joseph K Opeya, Collins JO World J Surg Oncol Case Report INTRODUCTION: Desmoid tumors are benign but locally aggressive tumors of mesenchymal origin which are poorly circumscribed, infiltrate the surrounding tissue, lack a true capsule and are composed of abundant collagen. History of trauma to the site of tumor origin is elicited in up to 1 in 4 cases and they most commonly develop in the anterior abdominal wall and shoulder girdle but they can arise in any skeletal muscle. The clinical behavior and natural history of desmoid tumors are unpredictable and management is difficult with many issues remaining controversial, mainly regarding early detection, the role, type and timing of surgery and the value of non-operative therapies. CASE PRESENTATION: We report a case of a 23 year old male referred from a district hospital to a national referral hospital in Kenya, after developing a huge abdominal wall desmoid tumor following laparotomy for a blunt abdominal injury fourteen months earlier. The tumor was successfully excised and the abdominal wall defect reconstructed using a vicryl/prolene mesh and a unilateral groin flap. The patient had a non-eventful recovery and was discharged through radiotherapy clinic. CONCLUSION: Wide margin tumor excision alone is a reasonable option in the management of desmoid tumors. BioMed Central 2011-03-22 /pmc/articles/PMC3070676/ /pubmed/21426541 http://dx.doi.org/10.1186/1477-7819-9-35 Text en Copyright ©2011 Wanjeri and Opeya; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Wanjeri, Joseph K
Opeya, Collins JO
A massive abdominal wall desmoid tumor occurring in a laparotomy scar: A case report
title A massive abdominal wall desmoid tumor occurring in a laparotomy scar: A case report
title_full A massive abdominal wall desmoid tumor occurring in a laparotomy scar: A case report
title_fullStr A massive abdominal wall desmoid tumor occurring in a laparotomy scar: A case report
title_full_unstemmed A massive abdominal wall desmoid tumor occurring in a laparotomy scar: A case report
title_short A massive abdominal wall desmoid tumor occurring in a laparotomy scar: A case report
title_sort massive abdominal wall desmoid tumor occurring in a laparotomy scar: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070676/
https://www.ncbi.nlm.nih.gov/pubmed/21426541
http://dx.doi.org/10.1186/1477-7819-9-35
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