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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 3, April 2014 pp 434-435

Research Article

Recurrent Abdominal Wall Desmoid: A Case Report

Udesh Ganapathy, P. R. Rani, Reshmi Udesh, Balamani Mukilan

Academic Editor : Dr. Aher K.R.

Desmoid tumors or desmoid fibromatoses are benign neoplasms arising from muscle and aponeuroses all over the body. The most common site for desmoids is the anterior abdominal wall. They are usually seen in women of reproductive age group. Recurrent desmoids make surgical excision and reconstruction a challenge due to the huge defect in the anterior abdominal wall. We report a 25year old female case of recurrent desmoid with previous surgical history of excision of an abdominal wall desmoid. Pre- operative USG (Ultrasound) Abdomen reports indicated a homogenous pelvic mass. Wide surgical excision of the tumor was done with safe margins. Subsequent histology revealed a desmoid tumor. Radical surgery is still the main stay of treatment of recurrent desmoids. Radiotherapy, chemotherapy and anti- estrogens are still questionable.  Further research into their etiology is required combined with multicentric clinical trials of new treatments in order to improve management of this disease. This case report provides general knowledge of desmoid tumors, and may be used as guidance for diagnosis and treatment.