[Desmoid tumor of shoulder-Girdle]

Desmoid tumour is an uncommon connective tissue tumour arising from musculoaponevrotic tissue characterized by spindle cell fibroblast and myofibroblast proliferation. Although considered as a benign lesion, it can be very aggressive locally, and has a high rate of local recurrences afer surgical excision. The cause is unknown and it most often encountered in young women. Abdominal localization is the most frequent site. Extra-abdominal desmoid tumors particularly located in the girdles or the most proximal part of the limbs. We report a case of a 31 year old woman with desmoid with tumour of the scapular region which was treated with wide excision, but in the following year the tumour reccured locally of the shoulder-girdle and infiltrated into the brachial plexus. Nevertheless, surgical treatment of recurrent tumors is difficult and often insufficient, compromising functional outcome. Radiotherapy has been advocated for better control tumor growth

[Hyperplastic polyposis association with colorectal cancer and serrated adenoma]

Hyperplastic polyposis is a loosely defined syndrome initially thought not to confer a clinically important predisposition to colorectal cancer. However, number of reports have been made of individuals with this condition who have developed colorectal carcinoma. We report here the case of a 60 years old woman with adenocarcinoma of the rectum who underwent a right hemicolectomy. More than 50 sessile polyps where found. The histologic examination revealed the hyperplastic nature of these polyps. One of them was a serrated adenoma. Hyperplastic polyposis is rare and is associated with an increased cancer risk. The patients need to be followed with successive endoscopies