Abstract
Desmoide or aggressive fibromatosis belong to the group of benign tumor characterized by a locally infiltrative growth and tendency to recur and which do not metastasize. Here is shown 46 years old woman who is coming for examination because of recurrent tumors of the anterior abdominal wall, PH earlier verified as desmoide fibromatosis. With a tumor of the anterior abdominal wall measuring 14.7 x 7.0 x 12.5 cm, CT diagnostics discovered a tumor size of 5.8 x 8.8 cm 6,2x in the lodge earlier removed right kidney, which is in close communication with v. cava inferior (VCI) and A. Illiaca comunis dex. (AIC dex.). Compression of VCI and AIC has resulted in swelling of the right leg as a whole who retired after excision of the tumor. The postoperative course was uneventful.
Highlights
Dezmoidne ili agresivne fibromatoze pripadaju grupi benignih tumora koje karakteriše lokalno infiltrativan rast i sklonost recidiviranju, a koje ne metastaziraju
Retroperitonelni tumor se odvoji od donje šuplje vene i identifikuje se desni ureter koji je podvezan zbog prethodne nefrektomije od prije pet godina.(Slika 3.) Uradi se kontrola hemostaze, postave se tri drena u trbušnu duplju i prednji trbušni zid rekonstruiše po slojevima
S obzirom na to da se radi o recidivu tumora, naša pacijentkinja će biti prezentovana onkološkom konzilijumu zbog uvođenja adjuvantne terapije, koja je izostala nakon prve operacije
Summary
Dezmoidne ili agresivne fibromatoze pripadaju grupi benignih tumora koje karakteriše lokalno infiltrativan rast i sklonost recidiviranju, a koje ne metastaziraju. Prikazana je žena starosti 46 godina, koja dolazi na pregled zbog recidivantnog tumora prednjeg trbušnog zida, ranije PH verifikovanog kao dezmoidna fibromatoza. Uz tumor prednjeg trbušnog zida dimenzija 14.7x7.0x12.5 cm, CT dijagnostikom otkriven je i tumor veličine 5.8x6.2x8.8 cm u loži ranije odstranjenog desnog bubrega, koji je u bliskoj komunikaciji sa donjom šupljom venom (VCI) i desnom zajedničkom ilijačnom aretrijom (AIC dex.). Kompresija na iste je rezultirala otokom desne noge u cjelosti, koji se povukao nakon ekscizije tumora.
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