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Gigantic recurrent abdominal desmoid tumour: a case report
E A Rakha1, M A Kandil, M G El-Santawe
1Department of Histopathology, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt. emadrakha@yahoo.com
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|December 7, 2006
Summary
A rare desmoid tumor (DT) case highlights surgical success. Radical tumor removal achieved excellent recovery and no recurrence after six years, even after ineffective neoadjuvant therapies.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Desmoid tumors (DTs) are rare, locally aggressive fibroblast proliferations.
- Despite being benign, DTs pose life-threatening risks due to invasiveness and high recurrence rates.
Observation:
- A unique case of a massive recurrent abdominal desmoid tumor (36 cm, 25 kg) is presented.
- The tumor caused significant abdominal wall damage, including pressure necrosis and a large fungating mass.
- Preoperative neoadjuvant therapies proved ineffective in managing this large tumor.
Findings:
- Radical surgical removal of the enormous desmoid tumor was successfully performed.
- The patient experienced an excellent clinical recovery post-surgery.
- A 6-year follow-up revealed no evidence of recurrent disease.
Implications:
- Surgical intervention is recommended for desmoid tumors, irrespective of size.
- Surgery is particularly crucial for DTs unresponsive to neoadjuvant therapy.
- This case underscores the potential for successful radical resection in massive, recurrent desmoid tumors.