Medical Case Reports

Biography

Biography: Debkumar Chowdhury

Abstract

Desmoid tumors (DT) are benign tumors that arise from the proliferation of well diff erentiated fi broblasts. Although they are benign, they have the potential to be locally aggressive and can recur post excision. DTs can present both intra-abdominal and extra-abdominal locations, however prognosis is worse intra-abdominally. Here we present the case of a 59-year-old gentleman previously fi t and well who presented with a 4-week history of right abdominal mass associated with mild discomfort to the surgical outpatient clinic. Th ere were no associated gastrointestinal symptoms noted. It was initially thought that it could represent an incisional hernia or Richter’s hernia. He had previous undergone open appedicectomy at the site of the lesion. He underwent a CT scan which revealed a 6.5 cm soft tissue mass. Following ultrasound guided biopsy, histology revealed fi brous connective tissue and bundles of spindled cells with no evidence of malignancy. Th e decision to excise the lesion was taken having been discussed at our local MDT meeting. Intra-operatively 3 lesions were identifi ed with all 3 lesions embedded in the mesentery and located at serosal juxta positions. Histology of frozen section was consistent with DT. Th e margins were clear with no post-operative complications. Th ere is an association of intra-abdominal DT with FAP. Intra-abdominal DTs are more prevalent in females with history of previous surgery. Our case is unique as our patient does not fall into any of the above categories. Th e basic management of intra-abdominal desmoid tumors is primary resection with any adjuvant therapy as deemed appropriate by the MDT specializing in soft tissue tumors..