Management of a large abdominal wall desmoid tumor during pregnancy. Case report
Michopoulou, A.; Germanos, S.; Kanakopoulos, D.; Milonas, A.; Orfanos, N.; Spyratou, C.; Markidis, P.
Annali Italiani di Chirurgia 81(2): 153-156
2010
ISSN/ISBN: 0003-469X PMID: 20726395 Document Number: 644054
Desmoid tumors, characterized by aggressive local infiltration of surrounding tissues, are uncommon benign neoplasms with no metastatic potential, that occasionally may attain large size. We report a case of a 37-year-old woman with an abdominal wall desmoid tumor that appeared and grew rapidly during her pregnancy, diagnosed by trucut core biopsy. Complete surgical excision of a 20 x 16 cm in size tumor and immediate reconstruction with mesh was performed in the postpartum period. She had no postoperative complications and no recurrence at 2-year follow-up. Optimal management of large abdominal wall desmoids during pregnancy has to be individualized, with wide surgical excision remaining the treatment of choice.