腸間膜デスモイド腫瘍の1例

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  • A CASE REPORT OF MESENTERIC DESMOID TUMOR

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Desmoid tumor commonly occurs in the extremities or abdominal wall in patients with adenomatous polyposis coli (APC) or those who have a previous history of undergoing abdominal operation. This time we experienced a case of mesenteric desmoid tumor in a 28-year-old man without such associated disease and the history. The patient was admitted to the hospital because of an abdominal tumor. A fist-sized and elastic hard tumor was palpated in the right lower abdominal region. Barium enema showed no abnormal findings. Abdominal CT and ultrasonographic examination suggested a mesenteric tumor. On laparotomy, the tumor, 11×7×6cm in size, was located at the ileocecal mesentery and an ileo-cecal resection was performed. Histological examination revealed desmoid tumor consisiting of uniform spindle cells with collagen fibers. The postoperative course of the patient was uneventful and he has had no sign of recurrence for more than 2 years after the surgery. In a review of the Japanese literature, the solitary appearance of mesenteric desmoid tumor like this patient who had no APC nor history of laparotomy has been reported in only ten cases so far.

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