Background: desmoid tumor, also known as aggressive fibromatosis, is a rare soft tissue tumor. For those cases localized in the anterior abdominal wall, radical resection and reconstruction with a mesh is indicated. Because the rarity of the disease, randomized trials are lacking, but in reported retrospective series, it is clear that although it is considered a benign lesion, local recurrence is not uncommon. Methods: we analyzed the records of 7 consecutive patients (1 man, 6 women, mean age 35 years, range 25-60 years) with desmoids tumor of anterior abdominal wall. The surgical strategy was the same in all cases: wide surgical excision and immediate plastic reconstruction with ePTFE mesh after intraoperative confirmation by frozen sections of disease-free margins of > 1 cm. Results: No immediate postoperative complications was registered, and no patient developed recurrence after a median follow-up period of 60 months. The long-term mean global health status registered was 100 out of 100. Conclusions: Radical resection aided by intra-operative margin evaluation via frozen sections followed by immediate mesh reconstruction is a safe procedure and can provide definitive cure without functional limitations for patients with desmoids tumors of the anterior abdominal wall.
Abdominal wall reconstruction with intraperitoneal prosthesis in desmoid tumors surgery
CARDI', Francesco;
2012-01-01
Abstract
Background: desmoid tumor, also known as aggressive fibromatosis, is a rare soft tissue tumor. For those cases localized in the anterior abdominal wall, radical resection and reconstruction with a mesh is indicated. Because the rarity of the disease, randomized trials are lacking, but in reported retrospective series, it is clear that although it is considered a benign lesion, local recurrence is not uncommon. Methods: we analyzed the records of 7 consecutive patients (1 man, 6 women, mean age 35 years, range 25-60 years) with desmoids tumor of anterior abdominal wall. The surgical strategy was the same in all cases: wide surgical excision and immediate plastic reconstruction with ePTFE mesh after intraoperative confirmation by frozen sections of disease-free margins of > 1 cm. Results: No immediate postoperative complications was registered, and no patient developed recurrence after a median follow-up period of 60 months. The long-term mean global health status registered was 100 out of 100. Conclusions: Radical resection aided by intra-operative margin evaluation via frozen sections followed by immediate mesh reconstruction is a safe procedure and can provide definitive cure without functional limitations for patients with desmoids tumors of the anterior abdominal wall.File | Dimensione | Formato | |
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