Desmoid-type fibromatosis mimicking uterine fibroid invade the urinary bladder: A case report and literature review

Objective: Desmoid fibromatosis (DF) is a rare, locally aggressive soft tissue tumor. Computed tomography (CT) and magnetic resonance imaging (MRI) play a critical role in the diagnosis of DF and in developing treatment plans. Currently, observation is the primary therapeutic option for a biopsy-con...

Full description

Bibliographic Details
Main Authors: Yu-Tse Hung, Yu-Fang Huang, Pei-Ying Wu
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455922003588
_version_ 1797938723917135872
author Yu-Tse Hung
Yu-Fang Huang
Pei-Ying Wu
author_facet Yu-Tse Hung
Yu-Fang Huang
Pei-Ying Wu
author_sort Yu-Tse Hung
collection DOAJ
description Objective: Desmoid fibromatosis (DF) is a rare, locally aggressive soft tissue tumor. Computed tomography (CT) and magnetic resonance imaging (MRI) play a critical role in the diagnosis of DF and in developing treatment plans. Currently, observation is the primary therapeutic option for a biopsy-confirmed DF. Here, we present a case of a DF that was misdiagnosed as uterine fibroid before surgery. Case report: A 36-year-old woman presented with urinary frequency and a palpable lower abdominal mass, which was suspected as uterine fibroid based on sonography and CT. During surgery, an abdominal wall mass was found to be densely adherent to the bladder. Permanent pathology revealed that the tumor was desmoid-type fibromatosis. Conclusion: Desmoid tumors often occur in the abdomen, abdominal wall, extremities, head, and neck. Abdominal wall DF involving the rectus abdominis muscles is most commonly observed. Conversely, desmoid tumors involving the bladder are less described. The review of similar cases reported since 1985 showed that partial cystectomy was primarily performed for complete resection.
first_indexed 2024-04-10T19:05:16Z
format Article
id doaj.art-1c1777b460c64699b157c9e7e410358c
institution Directory Open Access Journal
issn 1028-4559
language English
last_indexed 2024-04-10T19:05:16Z
publishDate 2023-01-01
publisher Elsevier
record_format Article
series Taiwanese Journal of Obstetrics & Gynecology
spelling doaj.art-1c1777b460c64699b157c9e7e410358c2023-01-31T04:08:24ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592023-01-01621158162Desmoid-type fibromatosis mimicking uterine fibroid invade the urinary bladder: A case report and literature reviewYu-Tse Hung0Yu-Fang Huang1Pei-Ying Wu2Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City 704, Taiwan; Department of Obstetrics and Gynecology, Kuo General Hospital, Tainan City, TaiwanDepartment of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City 704, TaiwanDepartment of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City 704, Taiwan; Corresponding author. Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Road, Tainan, Taiwan 704Objective: Desmoid fibromatosis (DF) is a rare, locally aggressive soft tissue tumor. Computed tomography (CT) and magnetic resonance imaging (MRI) play a critical role in the diagnosis of DF and in developing treatment plans. Currently, observation is the primary therapeutic option for a biopsy-confirmed DF. Here, we present a case of a DF that was misdiagnosed as uterine fibroid before surgery. Case report: A 36-year-old woman presented with urinary frequency and a palpable lower abdominal mass, which was suspected as uterine fibroid based on sonography and CT. During surgery, an abdominal wall mass was found to be densely adherent to the bladder. Permanent pathology revealed that the tumor was desmoid-type fibromatosis. Conclusion: Desmoid tumors often occur in the abdomen, abdominal wall, extremities, head, and neck. Abdominal wall DF involving the rectus abdominis muscles is most commonly observed. Conversely, desmoid tumors involving the bladder are less described. The review of similar cases reported since 1985 showed that partial cystectomy was primarily performed for complete resection.http://www.sciencedirect.com/science/article/pii/S1028455922003588Abdominal wall tumorBladderDesmoid fibromatosisSurgery
spellingShingle Yu-Tse Hung
Yu-Fang Huang
Pei-Ying Wu
Desmoid-type fibromatosis mimicking uterine fibroid invade the urinary bladder: A case report and literature review
Taiwanese Journal of Obstetrics & Gynecology
Abdominal wall tumor
Bladder
Desmoid fibromatosis
Surgery
title Desmoid-type fibromatosis mimicking uterine fibroid invade the urinary bladder: A case report and literature review
title_full Desmoid-type fibromatosis mimicking uterine fibroid invade the urinary bladder: A case report and literature review
title_fullStr Desmoid-type fibromatosis mimicking uterine fibroid invade the urinary bladder: A case report and literature review
title_full_unstemmed Desmoid-type fibromatosis mimicking uterine fibroid invade the urinary bladder: A case report and literature review
title_short Desmoid-type fibromatosis mimicking uterine fibroid invade the urinary bladder: A case report and literature review
title_sort desmoid type fibromatosis mimicking uterine fibroid invade the urinary bladder a case report and literature review
topic Abdominal wall tumor
Bladder
Desmoid fibromatosis
Surgery
url http://www.sciencedirect.com/science/article/pii/S1028455922003588
work_keys_str_mv AT yutsehung desmoidtypefibromatosismimickinguterinefibroidinvadetheurinarybladderacasereportandliteraturereview
AT yufanghuang desmoidtypefibromatosismimickinguterinefibroidinvadetheurinarybladderacasereportandliteraturereview
AT peiyingwu desmoidtypefibromatosismimickinguterinefibroidinvadetheurinarybladderacasereportandliteraturereview