Diagnostic and therapeutic dilemmas in intra-abdominal desmoid tumors: A case report and literature review

3Citations
Citations of this article
6Readers
Mendeley users who have this article in their library.

Abstract

Introduction Intra-abdominal desmoid tumors (DTs) are a rare and anatomically diverse group of locally-aggressive, benign neoplasms. They are often difficult to diagnose, even in patients who possess risk factors for the disease. Even after a diagnosis has been reached, the optimal therapy is often not well-defined. Presentation of case The case discussed of a 33-year old male with a giant intra-abdominal desmoid is an example of both the diagnostic and therapeutic dilemmas that arise when confronted with a patient with a DT. Initial confusion over diagnosis led to ineffective therapy, but once the correct diagnosis was made, the patient went on to definitive surgical resection. Discussion The differential diagnosis of DTs is broad, and the diagnosis is often delayed due to nonspecific presentations. Immunohistochemistry is crucial in the accurate histological diagnosis, which guides treatment. Chemotherapy and radiation have a role in the management of both primary and recurrent lesions, but surgical resection remains the cornerstone of treatment. Conclusion DTs present a clinical challenge in their diagnosis and management, and despite providing standard medical and surgical treatment, recurrence rates are high and continued surveillance is crucial.

Cite

CITATION STYLE

APA

Williams, A. D., Heightchew, K., & Siripirapu, V. (2016). Diagnostic and therapeutic dilemmas in intra-abdominal desmoid tumors: A case report and literature review. International Journal of Surgery Case Reports, 26, 150–153. https://doi.org/10.1016/j.ijscr.2016.07.044

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free