Ono H(1), Hori K(1), Tashima L(1), Tsuruta T(1), Nakatsuka SI(2), Ito K(1).
(1)Department of Obstetrics and Gynecology, Kansai Rosai Hospital, Japan. (2)Department of Pathology, Kansai Rosai Hospital, Japan; Department of Diagnostic Pathology and Cytology, Osaka International Cancer Institute, Japan.
Publication
Int J Surg Case Rep
Summary
We encountered a case of retroperitoneal desmoid-type fibromatosis in a 45-year-old woman who presented with chief complaints of stomach ache and vomiting. She underwent total abdominal hysterectomy and left salpingo-oophorectomy due to uterine myoma and a paroophoritic cyst at 42 years of age. Abdominal computed tomography showed a 5 cm left retroperitoneal tumour and severe hydronephrosis of the left kidney. Therefore, we performed tumour resection, right salpingo-oophorectomy, ureterectomy, and ureterocystostomy. The tumour surrounded the left ureter and adhered to the left internal/external iliac artery, rectum, bladder, and the edge of the vagina. Histopathologic examination yielded a diagnosis of retroperitoneal desmoid-type fibromatosis. One month after the operation, transvaginal sonography showed a 2-cm mass in the pelvis. We suspected tumour recurrence and commenced pharmacotherapy with tranilast (300 mg/day, three times per day). Four months after the operation, the mass disappeared.
Stay Up to Date as We Uncover More About Desmoid Tumors
