A Case Report of Successfully treated the Desmoid Tumor Arising

Yuji Yasui, Kazuhiko Tsuchiya, Hiromi Maeda and Masahiro Mukubou

Department of Surgery, Ono Municipal Hospital

A 58-year-old woman developed a mass in the abdomen while being followed up after surgery for colon cancer. The clinical course and radiological findings suggested a desmoid tumor. Since needle biopsy confirmed the diagnosis, tumor was resected. The isolated tumor was 9.5 by 9.0 by 6.0 cm and its cross-section was homogeneously dark gray with no hemorrhage or necrosis. Histopathological examination of the tumor validated the diagnosis. Desmoid tumors are invasive and often recur locally, making extensive resectioning desirable. Preoperative diagnosis of desmoid tumor made by needle biopsy was useful in selecting an appropriate surgical procedure. The patient had a history of abdominal desmoid tumor and developed another desmoid tumor on the mesenterium, which is unusual. No signs of recurrence were seen in follow up 10 months after surgery.

Key words
mesenteric desmoid tumor, abdominal desmoid tumor, mesenteric fibromatosis

Reprint requests
Yuji Yasui Department of Surgery, National Kakogawa Hospital 1545 Saijyo, Jinno-cho, Kakogawa, 675-0009 JAPAN

Accepted
January 26, 2000

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