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Metachronous Sporadic Desmoid Tumors Arisen in the Stomach and the Cecum

Desmoid-type fibromatosis (DF) is a rare soft-tissue tumor demonstrating fibroblastic to myofibroblastic differentiation, recognized as a biologically intermediate, locally aggressive tumor; however, it can be clinically lethal due to its infiltrative growth and risk of locoregional recurrence. Desm...

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Autores principales: Tamaki, Ichiro, Takahara, Hidenori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8175913/
https://www.ncbi.nlm.nih.gov/pubmed/34104591
http://dx.doi.org/10.7759/cureus.14847
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author Tamaki, Ichiro
Takahara, Hidenori
author_facet Tamaki, Ichiro
Takahara, Hidenori
author_sort Tamaki, Ichiro
collection PubMed
description Desmoid-type fibromatosis (DF) is a rare soft-tissue tumor demonstrating fibroblastic to myofibroblastic differentiation, recognized as a biologically intermediate, locally aggressive tumor; however, it can be clinically lethal due to its infiltrative growth and risk of locoregional recurrence. Desmoid-type fibromatoses can arise from any part of the body, however, intra-abdominal DFs comprise only 8% of all DFs. We report a case of a male in his 60s who presented with the metachronous occurrence of DF: gastric DF followed by cecal DF with two years of clinical interval. The latter tumor (cecal DF) developed under scheduled postoperative surveillance of laparoscopic gastrectomy. Although a surgical wound is known to be an inductive factor for DFs, the cecal DF developed in a part that was not a surgical site in the previous operation. Curative resection is the first treatment option when the tumor shows progression in size. Following the curative resection, close observation should be provided because of the risk of locoregional recurrence.
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spelling pubmed-81759132021-06-07 Metachronous Sporadic Desmoid Tumors Arisen in the Stomach and the Cecum Tamaki, Ichiro Takahara, Hidenori Cureus Pathology Desmoid-type fibromatosis (DF) is a rare soft-tissue tumor demonstrating fibroblastic to myofibroblastic differentiation, recognized as a biologically intermediate, locally aggressive tumor; however, it can be clinically lethal due to its infiltrative growth and risk of locoregional recurrence. Desmoid-type fibromatoses can arise from any part of the body, however, intra-abdominal DFs comprise only 8% of all DFs. We report a case of a male in his 60s who presented with the metachronous occurrence of DF: gastric DF followed by cecal DF with two years of clinical interval. The latter tumor (cecal DF) developed under scheduled postoperative surveillance of laparoscopic gastrectomy. Although a surgical wound is known to be an inductive factor for DFs, the cecal DF developed in a part that was not a surgical site in the previous operation. Curative resection is the first treatment option when the tumor shows progression in size. Following the curative resection, close observation should be provided because of the risk of locoregional recurrence. Cureus 2021-05-04 /pmc/articles/PMC8175913/ /pubmed/34104591 http://dx.doi.org/10.7759/cureus.14847 Text en Copyright © 2021, Tamaki et al. https://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 Pathology
Tamaki, Ichiro
Takahara, Hidenori
Metachronous Sporadic Desmoid Tumors Arisen in the Stomach and the Cecum
title Metachronous Sporadic Desmoid Tumors Arisen in the Stomach and the Cecum
title_full Metachronous Sporadic Desmoid Tumors Arisen in the Stomach and the Cecum
title_fullStr Metachronous Sporadic Desmoid Tumors Arisen in the Stomach and the Cecum
title_full_unstemmed Metachronous Sporadic Desmoid Tumors Arisen in the Stomach and the Cecum
title_short Metachronous Sporadic Desmoid Tumors Arisen in the Stomach and the Cecum
title_sort metachronous sporadic desmoid tumors arisen in the stomach and the cecum
topic Pathology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8175913/
https://www.ncbi.nlm.nih.gov/pubmed/34104591
http://dx.doi.org/10.7759/cureus.14847
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