RESUMO
We report the case of a 37-year-old woman investigated for left flank pain 1 year after bariatric surgery (Roux-en-Y gastric bypass). Abdominal computed tomography (CT) revealed a solid intra-abdominal lesion measuring 9.3 × 9.4 × 10.4 cm, compressing adjacent structures with no signs of invasion. Ileocolectomy with partial mesenteric resection was performed. A histopathological and immunohistochemical analysis confirmed the diagnosis of mesenteric desmoid tumor.(AU)
Assuntos
Humanos , Feminino , Adulto , Derivação Gástrica/efeitos adversos , Fibromatose Agressiva/etiologia , Mesentério , Neoplasias Abdominais/etiologia , Neoplasias Peritoneais/diagnóstico , Fibromatose Agressiva/diagnóstico , Doenças Raras/diagnóstico , Doenças Raras/etiologiaRESUMO
Objetivo: Se informa nuestra experiencia en el manejo de los tumores desmoides de la pared abdominal y del abdomen, una rara patología. Diseño: estudio longitudinal retrolectivo. Lugar: Centro hospitalario de segundo nivel. Material y métodos: Se examinó la historia natural de esta rara patología del abdomen (70 pacientes) en un periodo de 6 años, entre enero de 1989 y julio de 1994. Análisis estadistico a través de medidas de tendencia central, frecuencia relativa y acumulada escendente, y gráficas. Resultados: 70 pacientes. Distribución por sexo 65.5 por ciento masculino, 34.5 por ciento femenino. Mayor incidencia de los 18 a los 38 años; 58 casos en pared abdominal y 12 casos en el mesenterio. Antecedentes de traumatismo en 52 por ciento. Tipo de cirugía: extirpación completa. Recidiva: 5 tumores. Seguimiento: 3 años. Mortalidad: ninguna. Conclusiones: El tratamiento más adecuado es su extirpación completa para no dejar implantes de tumor y así prevenir su recidiva
Assuntos
Humanos , Masculino , Feminino , Adulto , Distribuição por Idade , Tomada de Decisões , Fibromatose Agressiva/epidemiologia , Fibromatose Agressiva/etiologia , Fibromatose Agressiva/cirurgia , Mesentério/patologia , Músculos Abdominais/patologia , Distribuição por SexoRESUMO
Desmoid fibromatosis, also called extensive fobromatosis, is a rare and benign tumor, wich is nonetheless serious due to its recurrent character and to its potential for infiltration of neighboring tissues. It is usually observed in young patients, and its treatment is only surgical when the tumor is at its earlier stage. The authors report here a case of cervical desmoid fibroma, with all these charasteristics, and wich course was marked by a large extension making operation impossible
Assuntos
Humanos , Feminino , Fibromatose Agressiva/etiologia , Fibromatose Agressiva/cirurgia , Pescoço/patologiaRESUMO
A rare case of desmoid tumor is presented, occurred in a abdominal scar, one year and six months after radiotherapy and surgery treatment for the endometial adenocarcinoma. It was treated by ressection of the tumor. After six months, the patient had no sign of recurrence