A Case of Abdominal Desmoid Tumor and Fascia Lata Reconstruction

Abstract

A 37–year–old woman seen for a hard immobile 15 cm tumor of the lower abdomen was found in abdominal ultrasonography to have a lesion with heterogenous echogenicity and a clear border. Abdominal computed tomography (CT) showed a solid tumor with nearly homogeneous density diagnosed as originating in the abdominal wall. After undergoing wide local tumor resection with a 1 cm surgical margin, she had an abdominal–wall defect reconstructed using the fascia lata. The histopathological diagnosis was a desmoid tumor. No evidence of recurrence has been seen in the 4 years since surgery. Abdominal desmoid tumors are relatively rare, and we report this case and bibliographical comments.