Intra-Abdominal Desmoid Tumour (DT) with Pelvic Extension-A Case Report
168-169
Correspondence
Dr. Sathish Selva Kumar,
F-4, Shiv Apartments, No.1, 3rd Cross Street, Kalaimagalnagar, Ekkattuthangal, Chennai-600032, TamilNadu, India.
Phone: 09884858501, E-mail: sathishpath17@gmail.com
Desmoid Tumour (DT) is a rare benign, myofibroblastic tumour originating from muscle fascia with tendency to recur but, it rarely metastasizes. We are reporting here a case of DT that presented as an intra-abdominal mass with pelvic extension in a patient who underwent hysterectomy for fibroid uterus seventeen years ago. A clinical diagnosis of ovarian malignancy was made. Ovarian tumour markers for surface epithelial and germ cell tumours were negative. Imaging studies suggested DT and the same was excised surgically. A histopathological diagnosis of DT was made and confirmed with immunohistochemistry (IHC) markers. DT should always be considered especially in female patients with previous history of surgery. A complete surgical excision is the treatment of choice with recurrent cases requiring radiotherapy. A differential diagnosis like sarcoma and further toxic chemotherapy can be avoided with careful histopathological evaluation and IHC confirmation of DTs.