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Case Report

A giant, rapidly growing intra‑abdominal desmoid tumor of mesenteric origin in an adolescent male: A case report and literature review

  • Authors:
    • Sun Jung Kim
    • Jung Woo Han
    • Taehan Yoon
    • Hyungwook Choi
    • Yoon Dae Han
  • View Affiliations / Copyright

    Affiliations: Department of Surgery, Division of Colorectal Surgery, Yonsei University College of Medicine, Severance Hospital, Seoul 03722, Republic of Korea, Department of Pediatrics, Division of Pediatric Hemato‑Oncology, Yonsei University College of Medicine, Severance Hospital, Seoul 03722, Republic of Korea, Department of Pathology, Yonsei University College of Medicine, Severance Hospital, Seoul 03722, Republic of Korea
  • Article Number: 490
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    Published online on: September 5, 2023
       https://doi.org/10.3892/etm.2023.12189
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Abstract

A desmoid tumor is a fibroblastic proliferation of mesenchymal origin, which has no metastasizing potential but is locally aggressive. Although treatment has shifted to observation and active surveillance for newly diagnosed patients with desmoid tumors, intra‑abdominal mesenteric tumors or tumors that persistently grow and provoke symptoms may need prompt surgical treatment. There have only been a small number of case reports that illustrate large sporadic intra‑abdominal mesentery‑deriving desmoid tumors in which the longest diameter was ≥19 cm. In the present study, an adolescent male patient with a rapidly growing 38‑cm long sporadic intra‑abdominal desmoid tumor of mesenchymal origin is reported. The patient was treated with chemotherapy followed by surgical resection due to non‑responsiveness and progression of symptoms, then with maintenance adjuvant chemotherapy to prevent recurrence due to the large size of the tumor. Despite the rapid growth of the tumor and its high occupancy in the intra‑abdominal cavity, an R0 resection was successful with organ preservation. The patient has been recurrence‑free for 2 years, and further follow‑up is expected in the future.
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Copy and paste a formatted citation
Spandidos Publications style
Kim SJ, Han JW, Yoon T, Choi H and Han YD: A giant, rapidly growing intra‑abdominal desmoid tumor of mesenteric origin in an adolescent male: A case report and literature review. Exp Ther Med 26: 490, 2023.
APA
Kim, S.J., Han, J.W., Yoon, T., Choi, H., & Han, Y.D. (2023). A giant, rapidly growing intra‑abdominal desmoid tumor of mesenteric origin in an adolescent male: A case report and literature review. Experimental and Therapeutic Medicine, 26, 490. https://doi.org/10.3892/etm.2023.12189
MLA
Kim, S. J., Han, J. W., Yoon, T., Choi, H., Han, Y. D."A giant, rapidly growing intra‑abdominal desmoid tumor of mesenteric origin in an adolescent male: A case report and literature review". Experimental and Therapeutic Medicine 26.4 (2023): 490.
Chicago
Kim, S. J., Han, J. W., Yoon, T., Choi, H., Han, Y. D."A giant, rapidly growing intra‑abdominal desmoid tumor of mesenteric origin in an adolescent male: A case report and literature review". Experimental and Therapeutic Medicine 26, no. 4 (2023): 490. https://doi.org/10.3892/etm.2023.12189
Copy and paste a formatted citation
x
Spandidos Publications style
Kim SJ, Han JW, Yoon T, Choi H and Han YD: A giant, rapidly growing intra‑abdominal desmoid tumor of mesenteric origin in an adolescent male: A case report and literature review. Exp Ther Med 26: 490, 2023.
APA
Kim, S.J., Han, J.W., Yoon, T., Choi, H., & Han, Y.D. (2023). A giant, rapidly growing intra‑abdominal desmoid tumor of mesenteric origin in an adolescent male: A case report and literature review. Experimental and Therapeutic Medicine, 26, 490. https://doi.org/10.3892/etm.2023.12189
MLA
Kim, S. J., Han, J. W., Yoon, T., Choi, H., Han, Y. D."A giant, rapidly growing intra‑abdominal desmoid tumor of mesenteric origin in an adolescent male: A case report and literature review". Experimental and Therapeutic Medicine 26.4 (2023): 490.
Chicago
Kim, S. J., Han, J. W., Yoon, T., Choi, H., Han, Y. D."A giant, rapidly growing intra‑abdominal desmoid tumor of mesenteric origin in an adolescent male: A case report and literature review". Experimental and Therapeutic Medicine 26, no. 4 (2023): 490. https://doi.org/10.3892/etm.2023.12189
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