Mesenteric desmoid tumor: De novo occurrence or recurrence following appendectomy?

Desmoid type fibromatosis (DF) is a rare, locally aggressive but benign proliferation of fibrous tissue which produces a fibroblastic mass that can cause a wide range of symptoms secondary to mass effect. When resected, these masses most commonly recur in the first 2 years. We present a case of a 33...

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Main Authors: Joshua L. Sullivan, MD, Patrick M. Chesley, MD, David T. Nguyen, DO
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321007457
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author Joshua L. Sullivan, MD
Patrick M. Chesley, MD
David T. Nguyen, DO
author_facet Joshua L. Sullivan, MD
Patrick M. Chesley, MD
David T. Nguyen, DO
author_sort Joshua L. Sullivan, MD
collection DOAJ
description Desmoid type fibromatosis (DF) is a rare, locally aggressive but benign proliferation of fibrous tissue which produces a fibroblastic mass that can cause a wide range of symptoms secondary to mass effect. When resected, these masses most commonly recur in the first 2 years. We present a case of a 33-year-old male with a history of an appendectomy 2 years prior, though his pathology report did not identify inflammation in the appendix, who presented with gradual onset of abdominal pain, and radiographs that demonstrated a large mass in the right lower abdomen. Given his symptoms the mass was resected and pathologic evaluation revealed a desmoid tumor. This case presents a unique possibility of a recurrent desmoid tumor in which the patient's surgical history and radiographic findings can contribute to the overall management strategy of the patient given the evolving options for treatment of desmoid fibromatosis.
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spelling doaj.art-51cfcc11c4b74d79ae169783a869d3362022-12-21T19:16:10ZengElsevierRadiology Case Reports1930-04332022-01-01171219222Mesenteric desmoid tumor: De novo occurrence or recurrence following appendectomy?Joshua L. Sullivan, MD0Patrick M. Chesley, MD1David T. Nguyen, DO2Department of Radiology, Madigan Army Medical Center, 9040 Fitzsimmons Avenue, Fort Lewis WA 98431, USACorresponding author; Department of Radiology, Madigan Army Medical Center, 9040 Fitzsimmons Avenue, Fort Lewis WA 98431, USADepartment of Radiology, Madigan Army Medical Center, 9040 Fitzsimmons Avenue, Fort Lewis WA 98431, USADesmoid type fibromatosis (DF) is a rare, locally aggressive but benign proliferation of fibrous tissue which produces a fibroblastic mass that can cause a wide range of symptoms secondary to mass effect. When resected, these masses most commonly recur in the first 2 years. We present a case of a 33-year-old male with a history of an appendectomy 2 years prior, though his pathology report did not identify inflammation in the appendix, who presented with gradual onset of abdominal pain, and radiographs that demonstrated a large mass in the right lower abdomen. Given his symptoms the mass was resected and pathologic evaluation revealed a desmoid tumor. This case presents a unique possibility of a recurrent desmoid tumor in which the patient's surgical history and radiographic findings can contribute to the overall management strategy of the patient given the evolving options for treatment of desmoid fibromatosis.http://www.sciencedirect.com/science/article/pii/S1930043321007457Desmoid tumorDesmoid fibromatosisRecurrent desmoid
spellingShingle Joshua L. Sullivan, MD
Patrick M. Chesley, MD
David T. Nguyen, DO
Mesenteric desmoid tumor: De novo occurrence or recurrence following appendectomy?
Radiology Case Reports
Desmoid tumor
Desmoid fibromatosis
Recurrent desmoid
title Mesenteric desmoid tumor: De novo occurrence or recurrence following appendectomy?
title_full Mesenteric desmoid tumor: De novo occurrence or recurrence following appendectomy?
title_fullStr Mesenteric desmoid tumor: De novo occurrence or recurrence following appendectomy?
title_full_unstemmed Mesenteric desmoid tumor: De novo occurrence or recurrence following appendectomy?
title_short Mesenteric desmoid tumor: De novo occurrence or recurrence following appendectomy?
title_sort mesenteric desmoid tumor de novo occurrence or recurrence following appendectomy
topic Desmoid tumor
Desmoid fibromatosis
Recurrent desmoid
url http://www.sciencedirect.com/science/article/pii/S1930043321007457
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AT patrickmchesleymd mesentericdesmoidtumordenovooccurrenceorrecurrencefollowingappendectomy
AT davidtnguyendo mesentericdesmoidtumordenovooccurrenceorrecurrencefollowingappendectomy