A case of mesenteric desmoid-type fibromatosis treated by laparoscopic tumor extirpation Jun NAKAMURA 1 , Hiroaki NAKAMURA 1 , Ken SATO 1 , Nobuhisa YONEMITSU 2 , Akihiro IYAMA 1 1Department of Surgery, Yuaikai Foundation and Oda Hospital 2Department of Pathology, Sasebo Chuo Hospital Keyword: デスモイド , 腹腔鏡手術 , 治療戦略 pp.318-324
Published Date 2021/7/15
DOI https://doi.org/10.11477/mf.4426200922
  • Abstract
  • Look Inside
  • Reference

 A 70-year-old man was found to have a 4-cm neoplastic lesion in the lower mid abdomen by routine computed tomography (CT) for chronic hepatitis C. The tumor appeared to have originated from the mesentery; however, imaging examinations, including CT and magnetic resonance imaging, did not result in a definitive diagnosis. Diagnostic laparoscopic surgery was therefore performed. Despite the tumor being strongly adherent to the mesenteric vessels, it was successfully excised without resection of the intestine. The tumor was pathologically diagnosed as desmoid-type fibromatosis (a desmoid). Intra-abdominal desmoids are extremely rare and there is no consensus on their optimal treatment. Because they are locally invasive, complete resection can often be achieved only by open surgery with resection of other organs. However, the effectiveness of laparoscopic surgery and non-surgical treatments has also been demonstrated in recent years. We here report laparoscopic resection of a mesenteric desmoid and discuss the treatment strategy for intra-abdominal desmoids.

Copyright © 2021, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会