The Desmoid Tumor Research Foundation

July 2019

Recurrent Desmoid Tumor with Intra-Abdominal Extension After Abdominoplasty: A Rare Presentation

Author Information

Muneer M(1)(2), Badran S(1), Zahid R(1), Abdelmageed A(3), AlDulaimi MM(1).

(1)Dept of Plastic Surgery, Hamad Medical Corporation, Doha, Qatar. (2)Dept of Surgery, Weill Cornel Medical College, Doha, Qatar. (3)Dept of Health and Life Sciences, Hamad bin Khalifa Univ, Doha, Qatar.

Publication

Am J Case Rep

Summary

We present the case of a 63-year-old post-menopausal woman with a desmoid tumor of the anterior abdominal wall. She had no relevant family history. During abdominoplasty, an incidental mass was excised and biopsied, and was identified as a desmoid tumor with free margins. One year later, the patient presented with vague abdominal discomfort and feeling of heaviness. An incision was made through the previous abdominoplasty scar to maintain the aesthetic outcome. A large mass, arising from the abdominal wall and extending intra-abdominally, was excised and was determined to be a recurrent desmoid tumor. During abdominal wall repair in abdominoplasty, desmoid tumor filaments might seed deep intra-abdominally. Therefore, it is necessary to take adequate safe margins before abdominal wall repair. Post-operatively, surgeons should keep a high index of suspicion for tumor recurrence.

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