Öz
Fibromatosis that arises in musculoaponeurotic structures
of the abdominal wall is called abdominal fibromatosis, abdominal desmoid tumor
(DT), or aggressive fibromatosis. Fibromatoses occur at various anatomic
locations with different clinical features. Abdominal fibromatosis tends to
occur in young women. Conversely, in children is an extremely rare condition. Herein,
we report the case of a 15-year-old boy with desmoid tumor. He was referred to
our department because of a growing painful
mass in the right lumbar area. There was no history of known trauma or surgery
prior to the time. He was active wrestler. Ultrasonography demonstrated a solid
and relatively well-circumscribed mass. Magnetic resonance imaging demonstrated
a well-defined tumor originating from the abdominal transversal muscle and
internal abdominal oblique muscle fascia. The mass was total excised. The
histological diagnosis was desmoid tumor. In conclusion, in child patients
presenting a painful tumors of the lower abdominal wall as well as DT should be
considered. Recurrent sports trauma during wrestling can be a factor for this
tumor, in our case.
Anahtar Kelimeler
Kaynakça
- 1. Lewis JJ, Boland PJ, Leung DH, Woodruff JM, Brennan MF. The enigma of desmoid tumors. Ann Surg 1999; 229: 866-73.
- 2. S. Otero, E.C. Moskovic, D.C. Strauss, C. Benson, A.B. Miah, K. Thway, C. Messiou. Desmoid-type fibromatosis. Clinical Radiology 2015; 70: 1038-45.
- 3. Kumar AS, Padmini R, Veena G, Murugesan N. Extragastrointestinal Stromal Tumour of The Abdominal Wall - A Case Report. Journal of Clinical and Diagnostic Research. 2013; 7: 2970-2.
- 4. Chu HH, Hwang PH, Jeong YJ, Chung MJ. Abdominal Fibromatosis in a Young Child: A Case Study and Review of the Literature. The Korean Journal of Pathology 2013; 47: 472-476.
- 5. Kiel KD, Suit HD. Radiation therapy in the treatment of aggressive fibromatosis (desmoid tumors). Cancer.1984; 54: 2051–2055.
- 6. Koshariya M, Shukla S, Khan Z, Vikas V, Pratap Singh A, Baghel P, Pendro V, Kirti Jain V, Jagdish Jai S, Kumar S, Songra MC. Giant desmoid tumor of the anterior abdominal wall in a young female: a case report. Case Rep Surg. 2013; 780862.
- 7. Enzinger and Weiss's Soft Tissue Tumors: John Goldblum, Sharon Weiss, Andrew L. Folpe, 6th Edition, Saunders 2013, pp.103-6.
- 8. Wilkinson MJ, Chan KE, Hayes AJ, Strauss DC. Surgical Outcomes following Resection for Sporadic Abdominal Wall Fibromatosis. Br J Surg. 2012; 99:706-13.
- 9. Soft Tissue Tumours, in: F.M. Enzinger, S.W. Weiss (Eds.), 3rd edition, Mosby, St. Louis, MO, 1995, pp. 201-29.
- 10. Clark SK, Phillips RK. Desmoids in familial adenomatous polyposis. Brit J Surg. 1996; 83: 1494-504.
- 11. Lopez R, Kemalyan N, Moseley HS, Dennis D, Vetto RM. Problems in diagnosis and management of desmoid tumors. Am J Surg. 1990; 159: 450-3.
Öz
Karın duvarının kas-aponörotik yapılarından
köken alan fibromatozislere abdominal
fibromatozis, abdominal desmoid tümör (DT), ya da agressif fibromatozis adı
verilir. Fibromatozisler farklı anatomik lokalizasyonlarda farklı klinik
özelliklerde olabilirler. DT genç kadınlarda daha sıktır. Çocuklarda ise
oldukça ender bir durumdur. Bu yazıda 15 yaşında desmoid tümörlü bir erkek olgu
sunuldu. Hasta hastanemize sağ lumbal bölgede büyüyen ağrılı bir kitlenin
farkedilmesi üzerine sevk edilmişti. Hastanın öncesinde bilinen bir travma ya
da operasyon öyküsü yoktu. Aktif olarak güreş yapmaktaydı. Ultrasonografisinde
solid ve göreceli olarak iyi sınırlı kitle saptandı. Manyetik rezonans
görüntülemede iyi sınırlı, abdominal transversalis kası ile internal abdominal
oblique kasının fasyasından kaynaklanan kitle saptandı. Kitle genel anestezi
altında total olarak eksize edildi. Kitlenin histopatolojik incelemesinde
desmoid tümör tanısı konuldu. Sonuç olarak lateral abdominal bölgede ağrılı
kitle yakınmasıyla başvuran çocuklarda DT de ayırıcı tanıda dikkate alınması
gereken bir patolojidir. Olgumuzda güreş sırasındaki yineleyen spor travması bu
tümörün gelişiminde bir faktör olabilir diye düşünmekteyiz.
Anahtar Kelimeler
Kaynakça
- 1. Lewis JJ, Boland PJ, Leung DH, Woodruff JM, Brennan MF. The enigma of desmoid tumors. Ann Surg 1999; 229: 866-73.
- 2. S. Otero, E.C. Moskovic, D.C. Strauss, C. Benson, A.B. Miah, K. Thway, C. Messiou. Desmoid-type fibromatosis. Clinical Radiology 2015; 70: 1038-45.
- 3. Kumar AS, Padmini R, Veena G, Murugesan N. Extragastrointestinal Stromal Tumour of The Abdominal Wall - A Case Report. Journal of Clinical and Diagnostic Research. 2013; 7: 2970-2.
- 4. Chu HH, Hwang PH, Jeong YJ, Chung MJ. Abdominal Fibromatosis in a Young Child: A Case Study and Review of the Literature. The Korean Journal of Pathology 2013; 47: 472-476.
- 5. Kiel KD, Suit HD. Radiation therapy in the treatment of aggressive fibromatosis (desmoid tumors). Cancer.1984; 54: 2051–2055.
- 6. Koshariya M, Shukla S, Khan Z, Vikas V, Pratap Singh A, Baghel P, Pendro V, Kirti Jain V, Jagdish Jai S, Kumar S, Songra MC. Giant desmoid tumor of the anterior abdominal wall in a young female: a case report. Case Rep Surg. 2013; 780862.
- 7. Enzinger and Weiss's Soft Tissue Tumors: John Goldblum, Sharon Weiss, Andrew L. Folpe, 6th Edition, Saunders 2013, pp.103-6.
- 8. Wilkinson MJ, Chan KE, Hayes AJ, Strauss DC. Surgical Outcomes following Resection for Sporadic Abdominal Wall Fibromatosis. Br J Surg. 2012; 99:706-13.
- 9. Soft Tissue Tumours, in: F.M. Enzinger, S.W. Weiss (Eds.), 3rd edition, Mosby, St. Louis, MO, 1995, pp. 201-29.
- 10. Clark SK, Phillips RK. Desmoids in familial adenomatous polyposis. Brit J Surg. 1996; 83: 1494-504.
- 11. Lopez R, Kemalyan N, Moseley HS, Dennis D, Vetto RM. Problems in diagnosis and management of desmoid tumors. Am J Surg. 1990; 159: 450-3.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Case Reports |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Mart 2018 |
| Kabul Tarihi | 27 Şubat 2018 |
| Yayımlandığı Sayı | Yıl 2018Cilt: 40 Sayı: 1 |