Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
Abdominal Wall Desmoid Tumor after Delivery—A Case Report—
Hiromichi NAKACHIKoji KAWAKAMISatoru HIGAIchiro ARIMEToshio YARARyoji UCHIMA
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Keywords: desmoid, pregnancy, delivery
JOURNAL FREE ACCESS

2018 Volume 79 Issue 3 Pages 590-594

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Abstract
A 29-year-old woman presented to our hospital because of the development of an abdominal wall mass immediately after delivery in April 2014. Abdominal computed tomography and magnetic resonance imaging showed a tumor measuring 36 × 12 mm originating from the rectus abdominis muscle, of spindle and the boundary unclear. Preoperatively, there was a high index of suspicion for a clinical diagnosis of abdominal wall desmoid tumor. We removed a mass of tissue running from the anterior rectus sheath to the peritoneum near the tumor with a margin in a macroscopically normal tissue at least 5 cm from the edge of the tumor. Using the component separation technique, we used sutures to close the fascia without tension. Histopathologically, using immunohistological staining, the mass was diagnosed as a desmoid tumor, which showed negative findings for estrogen and progesterone receptors. After the postoperative follow-up of 3 years, there were no signs of recurrence.
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© 2018 Japan Surgical Association
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