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Primary Desmoid Tumor of the Small Bowel: A Case Report and Literature Review

Desmoid tumors, also known as aggressive fibromatosis, are fibromuscular neoplasms that arise from mesenchymal cell lines. They may occur in almost all soft tissue compartments. Primary desmoids of the small bowel are rare but potentially serious tumors presenting unique challenges to the general su...

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Autores principales: Ebeling, Peter A, Fun, Tristan, Beale, Katherine, Cromer, Robert, Kempenich, Jason W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6692092/
https://www.ncbi.nlm.nih.gov/pubmed/31423391
http://dx.doi.org/10.7759/cureus.4915
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author Ebeling, Peter A
Fun, Tristan
Beale, Katherine
Cromer, Robert
Kempenich, Jason W
author_facet Ebeling, Peter A
Fun, Tristan
Beale, Katherine
Cromer, Robert
Kempenich, Jason W
author_sort Ebeling, Peter A
collection PubMed
description Desmoid tumors, also known as aggressive fibromatosis, are fibromuscular neoplasms that arise from mesenchymal cell lines. They may occur in almost all soft tissue compartments. Primary desmoids of the small bowel are rare but potentially serious tumors presenting unique challenges to the general surgeon. We present one case of a 59-year-old man presenting with three months of abdominal distension secondary to a small bowel desmoid. Computed tomography of the abdomen showed an 18-cm mass in the mid-abdomen without obvious vital structure encasement. Percutaneous biopsy of the mass indicated a desmoid tumor. The patient underwent a successful elective exploratory laparotomy with resection and primary enteric anastomosis. Final pathology revealed the mass to be a primary desmoid of the small bowel. His post-operative course was uneventful. At two years after surgery, he is symptom free, and there is no evidence of disease recurrence. Due to the rare nature of primary small bowel desmoids, there are few specific care pathways outlined. This is a challenging pathology to treat that often requires a multidisciplinary team of surgical and medical oncologists.
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spelling pubmed-66920922019-08-18 Primary Desmoid Tumor of the Small Bowel: A Case Report and Literature Review Ebeling, Peter A Fun, Tristan Beale, Katherine Cromer, Robert Kempenich, Jason W Cureus General Surgery Desmoid tumors, also known as aggressive fibromatosis, are fibromuscular neoplasms that arise from mesenchymal cell lines. They may occur in almost all soft tissue compartments. Primary desmoids of the small bowel are rare but potentially serious tumors presenting unique challenges to the general surgeon. We present one case of a 59-year-old man presenting with three months of abdominal distension secondary to a small bowel desmoid. Computed tomography of the abdomen showed an 18-cm mass in the mid-abdomen without obvious vital structure encasement. Percutaneous biopsy of the mass indicated a desmoid tumor. The patient underwent a successful elective exploratory laparotomy with resection and primary enteric anastomosis. Final pathology revealed the mass to be a primary desmoid of the small bowel. His post-operative course was uneventful. At two years after surgery, he is symptom free, and there is no evidence of disease recurrence. Due to the rare nature of primary small bowel desmoids, there are few specific care pathways outlined. This is a challenging pathology to treat that often requires a multidisciplinary team of surgical and medical oncologists. Cureus 2019-06-17 /pmc/articles/PMC6692092/ /pubmed/31423391 http://dx.doi.org/10.7759/cureus.4915 Text en Copyright © 2019, Ebeling et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Ebeling, Peter A
Fun, Tristan
Beale, Katherine
Cromer, Robert
Kempenich, Jason W
Primary Desmoid Tumor of the Small Bowel: A Case Report and Literature Review
title Primary Desmoid Tumor of the Small Bowel: A Case Report and Literature Review
title_full Primary Desmoid Tumor of the Small Bowel: A Case Report and Literature Review
title_fullStr Primary Desmoid Tumor of the Small Bowel: A Case Report and Literature Review
title_full_unstemmed Primary Desmoid Tumor of the Small Bowel: A Case Report and Literature Review
title_short Primary Desmoid Tumor of the Small Bowel: A Case Report and Literature Review
title_sort primary desmoid tumor of the small bowel: a case report and literature review
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6692092/
https://www.ncbi.nlm.nih.gov/pubmed/31423391
http://dx.doi.org/10.7759/cureus.4915
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