Case Of Mesenteric Desmoid Tumor Research Articles

Diagnosis and Management of a Rare Case of Mesenteric Desmoid Tumor in a Post-Hysterectomy Patient

The paper discusses a case of a desmoid tumor in a post-hysterectomy female patient and describes how imaging modalities such as contrast-enhanced computed tomography and biopsy were used to diagnose the tumor. The case study suggests that for the diagnosis of desmoid tumors, contrast-enhanced computed tomography and magnetic resonance imaging are superior to conventional modalities. Options for patient therapy were addressed as well in this case.

A Case of Mesenteric Desmoid Tumor without a History of Abdominal Surgery

A Case of Mesenteric Desmoid Tumor without a History of Abdominal Surgery

A Case of Mesenteric Desmoid Tumor That Was Treated by Laparoscopic Surgery

A Case of Mesenteric Desmoid Tumor That Was Treated by Laparoscopic Surgery

A Case of Mesenteric Desmoid tumor Completely Resected by Laparoscopy-assisted Surgery

A Case of Mesenteric Desmoid tumor Completely Resected by Laparoscopy-assisted Surgery

急性腹症を呈した小腸腸間膜デスモイドの1例

症例は48歳男性，心窩部痛を主訴に近医受診．CTにて小腸に腫瘍性病変を指摘され，当院紹介受診となる．身体所見では心窩部付近に筋性防御・反跳痛を認め，血液検査で炎症反応の上昇を認めた．造影CTではTreitz靱帯近傍の小腸もしくは腸間膜由来と思われる，約8×8cm大の充実性腫瘍を認め，痛みが著明であり緊急手術を施行した．腫瘍は超手拳大で小腸腸間膜内に存在しており，小腸を約80cm合併切除した．腫瘍の大きさは10×8×8cm大，周囲との境界はやや不明瞭な線維性腫瘤を形成しており，術後病理所見で小腸腸間膜原発のデスモイドと診断された．腫瘍の浸潤した小腸の微小穿孔も確認され，今回の疼痛の原因と考えられた．術後経過は良好で，術後18日目に軽快退院，術後9カ月で再発を認めていない．腫瘍内に引き込まれた小腸の微小穿孔により急性腹症を呈し，緊急手術を要した小腸腸間膜デスモイドの1例を経験したので報告する．

A Case of Ileal Mesenteric Desmoid Tumor Resected by Laparoscopic Surgery

Desmoid tumor is rare neoplasm originated from fibrous sheath or musculoaponeurotic structure. It is classified as benign tumor histologically, but clinically, it has malignant characteristics due to its infiltrative growth to adjacent organ and frequent local recurrence. Especially, mesenteric desmoid tumor shows poor prognosis because of its symptoms of pain, intestinal obstruction, ureter obstruction and fistula formation and high frequency of recurrence. We experienced a case of mesenteric desmoid tumor in a 64-year-old woman with a painless abdominal mass. Laparoscopic exploration was performed and 10 cm sized mesenteric mass was identified, which resected widely and the diagnosis was confirmed with desmoid tumor by pathologic report. We reviewed the feature of the mesenteric desmoid tumor, that is, pathophysiology, clinical presentations, diagnosis, treatment and prognosis. (Ewha Med J 2012;35(1):49-53)

FDG-PETを施行した小腸間膜デスモイド腫瘍の１例

症例は67歳の男性で，胃癌（T2，N1，H0，P0，M0，StageⅡ）に対して幽門側胃切除術を施行した．術後３年後のCTで腹腔内腫瘤が認められたためfluorodeoxyglucose positron emission tomography （以下，FDG-PET）を施行した．腫瘤へのFDGの集積は軽度（standard uptake value：SUV max 早期像3.14，後期像3.15）であり，胃癌のリンパ節再発よりもデスモイド腫瘍などの良性の腹腔内腫瘍の可能性が高いと考えられたため手術を施行することとし，空腸の一部を合併切除する形で腫瘤摘出術を行った．病理組織学的検査では空腸腸間膜原発のデスモイド腫瘍と診断された．術後約42カ月の現在，明らかな再発は認めていない．FDG-PETは癌再発との鑑別が困難なデスモイド腫瘍の術前診断に有用である可能性があると考えられた．

A case of mesenteric desmoid tumor

A case of mesenteric desmoid tumor

A CASE REPORT OF MESENTERIC DESMOID TUMOR

Desmoid tumor commonly occurs in the extremities or abdominal wall in patients with adenomatous polyposis coli (APC) or those who have a previous history of undergoing abdominal operation. This time we experienced a case of mesenteric desmoid tumor in a 28-year-old man without such associated disease and the history. The patient was admitted to the hospital because of an abdominal tumor. A fist-sized and elastic hard tumor was palpated in the right lower abdominal region. Barium enema showed no abnormal findings. Abdominal CT and ultrasonographic examination suggested a mesenteric tumor. On laparotomy, the tumor, 11×7×6cm in size, was located at the ileocecal mesentery and an ileo-cecal resection was performed. Histological examination revealed desmoid tumor consisiting of uniform spindle cells with collagen fibers. The postoperative course of the patient was uneventful and he has had no sign of recurrence for more than 2 years after the surgery. In a review of the Japanese literature, the solitary appearance of mesenteric desmoid tumor like this patient who had no APC nor history of laparotomy has been reported in only ten cases so far.

早期胃癌切除後に腸間膜デスモイド腫瘍の合併が認められた1例

早期胃癌切除後に腸間膜デスモイド腫瘍の合併が認められた1例

腸間膜デスモイドとＳ状結腸癌の同時性重複症例の経験

腹腔内デスモイド腫瘍は稀な疾患で,本邦ではこれまでに27例の報告がみられるにすぎない,われわれは,腸間膜デスモイドとS状結腸癌の同時重複例を経験したので,若干の文献的考察を加え報告する.症例は67歳,男性.便通異常を主訴に内科を受診し,S状結腸癌の診断で当科紹介となった.開腹手術時,小腸間膜に硬い白色の小腫瘤を認め合併切除を施行した.腸間膜腫瘤は2.5cm大で,病理学的にデスモイド腫瘍と診断された.自験例は,大腸腺腫症を合併しないデスモイード症例で,S状結腸癌手術時に小腸間膜に小結節を認め,癌の転移が疑われた点が特異的であった.

Intra-abdominal Mesenteric Desmoid Tumor

We have presented a case of mesenteric desmoid tumor, with analysis of 21 such cases previously reported in Japan.