지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.12
- 수록면
- 86 - 92 (7page)
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초록· 키워드
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Purpose: Desmoid tumors are locally aggressive tumors with no known potential for metastasis. They tend to recur even after complete excision. Sometimes it is not easy to differentiate between intra-abdominal desmoid and tumor recurrence, especially after gastrointestinal (GI) tumor resection. The current study aims to review the characteristics, management, and outcomes of patients with intra-abdominal desmoid tumor post GI resection.
Methods: During the period between 2007 and 2018, after a retrospective review of patients’ clinical data, 10 patients were finally included. Medical records were screened for demographic, clinical, pathological data, management strategy, postoperative morbidity, mortality, recurrence rate and follow-up.
Results: The study comprised 10 patients (8 males). The median age was 53.5 years (range, 35-68 years). Two patients diagnosed as familial adenomatous polyposis (FAP). All the patients underwent previous GI resection: three (30%) for colon cancer, three (30%) gastrectomy, two (20%) total proctocolectomy with ileal pouch-anal anastomosis (TPC+IPAA) for FAP, one (10%) low anterior resection (three rectal cancers) and one (10%) distal pancreatectomy. The tumor was found to be in bowel mesentery in eight cases (80%). The median tumor size was 5.3 cm (range, 2.6-19.0 cm). Six patients (60%) underwent open resection, while four patients (40%) underwent laparoscopic surgery. Complications occurred in five cases (50%) and ranged from Clavien-Dindo (II-III). The median follow-up period was 16.5 months (1.5-136.0 months) with recurrence in one case (10%). Pathology came out to be desmoid tumor fibromatosis in all cases.
Conclusion: When a mass develops after surgical resection for abdominal GI malignancy and tends to be large in size, located in the bowel mesentery and away from previous primary tumor site, most probably it is desmoid rather than tumor recurrence.
Methods: During the period between 2007 and 2018, after a retrospective review of patients’ clinical data, 10 patients were finally included. Medical records were screened for demographic, clinical, pathological data, management strategy, postoperative morbidity, mortality, recurrence rate and follow-up.
Results: The study comprised 10 patients (8 males). The median age was 53.5 years (range, 35-68 years). Two patients diagnosed as familial adenomatous polyposis (FAP). All the patients underwent previous GI resection: three (30%) for colon cancer, three (30%) gastrectomy, two (20%) total proctocolectomy with ileal pouch-anal anastomosis (TPC+IPAA) for FAP, one (10%) low anterior resection (three rectal cancers) and one (10%) distal pancreatectomy. The tumor was found to be in bowel mesentery in eight cases (80%). The median tumor size was 5.3 cm (range, 2.6-19.0 cm). Six patients (60%) underwent open resection, while four patients (40%) underwent laparoscopic surgery. Complications occurred in five cases (50%) and ranged from Clavien-Dindo (II-III). The median follow-up period was 16.5 months (1.5-136.0 months) with recurrence in one case (10%). Pathology came out to be desmoid tumor fibromatosis in all cases.
Conclusion: When a mass develops after surgical resection for abdominal GI malignancy and tends to be large in size, located in the bowel mesentery and away from previous primary tumor site, most probably it is desmoid rather than tumor recurrence.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (26)
참고문헌 신청
Reitamo JJ / 1982 / The desmoid tumor. I. Incidence, sex-, age- and anatomical distribution in the Finnish population / Am J Clin Pathol 77:665~673
Mankin HJ / 2010 / Extra-abdominal desmoid tumors: a report of 234 cases / J Surg Oncol 102:380~384
Gurbuz AK / 1994 / Desmoid tumours in familial adenomatous polyposis / Gut 35:377~381
Nieuwenhuis MH / 2011 / Family history, surgery, and APC mutation are risk factors for desmoid tumors in familial adenomatous polyposis: an international cohort study / Dis Colon Rectum 54:1229~1234
Schiessling S / 2013 / Desmoid tumour biology in patients with familial adenomatous polyposis coli / Br J Surg 100:694~703
Mankin HJ / 2010 / Extra-abdominal desmoid tumors: a report of 234 cases / J Surg Oncol 102:380~384
Gurbuz AK / 1994 / Desmoid tumours in familial adenomatous polyposis / Gut 35:377~381
Nieuwenhuis MH / 2011 / Family history, surgery, and APC mutation are risk factors for desmoid tumors in familial adenomatous polyposis: an international cohort study / Dis Colon Rectum 54:1229~1234
Schiessling S / 2013 / Desmoid tumour biology in patients with familial adenomatous polyposis coli / Br J Surg 100:694~703
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