抄録
Intra-abdominal desmoid tumors are rare and most often occur in patients with a history of familial adenomatous polyposis, surgery, or pregnancy. We report a case of an intra-abdominal desmoid tumor mimicking the recurrence of gastric cancer. A 57-year-old male had undergone distal gastrectomy for advanced gastric cancer. Serum levels of carcinoembryonic antigen were found to be elevated 27 months after surgery. Computed tomography revealed a 15-mm mass in the mesentery of the transverse colon. In addition, radiotracer fluorodeoxyglucose uptake of the tumor was detected by positron emission tomography. The patient was diagnosed with gastric cancer recurrence, and chemotherapy consisting of cisplatin and S-1 was commenced. After five courses of chemotherapy, although no significant clinical response was seen, no new lesions were seen either. Thus, a curative resection of the recurrent tumor seemed possible, which was successfully performed. Histological examination of the resected specimen revealed spindle-shaped tumor cells with collagen fiber progression; no cancer cells were detected. The tumor was diagnosed as an intra-abdominal desmoid tumor. We report a rare case of an intra-abdominal desmoid tumor that mimicked a recurrent tumor arising from gastric cancer. In patients with history of surgery for intra-abdominal malignancies, it may be difficult to distinguish the recurrence of malignancy from desmoid tumors but the possibility of desmoid tumors must be considered in the differential diagnosis.
| 元の言語 | English |
|---|---|
| 記事番号 | 146 |
| ジャーナル | World Journal of Surgical Oncology |
| 巻 | 12 |
| 発行部数 | 1 |
| DOI | |
| 出版物ステータス | Published - 2014 5 10 |
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ASJC Scopus subject areas
- Oncology
- Surgery
- Medicine(all)
これを引用
Intra-abdominal desmoid tumor mimicking gastric cancer recurrence : A case report. / Okamura, Akihiko; Takahashi, Tsunehiro; Saikawa, Yoshiro; Mayanagi, Shuhei; Fukuda, Kazumasa; Nakamura, Rieko; Wada, Norihito; Kawakubo, Hirofumi; Omori, Tai; Takeuchi, Hiroya; Sasaki, Aya; Kitagawa, Yuukou.
：: World Journal of Surgical Oncology, 巻 12, 番号 1, 146, 10.05.2014.研究成果: Article
}
TY - JOUR
T1 - Intra-abdominal desmoid tumor mimicking gastric cancer recurrence
T2 - A case report
AU - Okamura, Akihiko
AU - Takahashi, Tsunehiro
AU - Saikawa, Yoshiro
AU - Mayanagi, Shuhei
AU - Fukuda, Kazumasa
AU - Nakamura, Rieko
AU - Wada, Norihito
AU - Kawakubo, Hirofumi
AU - Omori, Tai
AU - Takeuchi, Hiroya
AU - Sasaki, Aya
AU - Kitagawa, Yuukou
PY - 2014/5/10
Y1 - 2014/5/10
N2 - Intra-abdominal desmoid tumors are rare and most often occur in patients with a history of familial adenomatous polyposis, surgery, or pregnancy. We report a case of an intra-abdominal desmoid tumor mimicking the recurrence of gastric cancer. A 57-year-old male had undergone distal gastrectomy for advanced gastric cancer. Serum levels of carcinoembryonic antigen were found to be elevated 27 months after surgery. Computed tomography revealed a 15-mm mass in the mesentery of the transverse colon. In addition, radiotracer fluorodeoxyglucose uptake of the tumor was detected by positron emission tomography. The patient was diagnosed with gastric cancer recurrence, and chemotherapy consisting of cisplatin and S-1 was commenced. After five courses of chemotherapy, although no significant clinical response was seen, no new lesions were seen either. Thus, a curative resection of the recurrent tumor seemed possible, which was successfully performed. Histological examination of the resected specimen revealed spindle-shaped tumor cells with collagen fiber progression; no cancer cells were detected. The tumor was diagnosed as an intra-abdominal desmoid tumor. We report a rare case of an intra-abdominal desmoid tumor that mimicked a recurrent tumor arising from gastric cancer. In patients with history of surgery for intra-abdominal malignancies, it may be difficult to distinguish the recurrence of malignancy from desmoid tumors but the possibility of desmoid tumors must be considered in the differential diagnosis.
AB - Intra-abdominal desmoid tumors are rare and most often occur in patients with a history of familial adenomatous polyposis, surgery, or pregnancy. We report a case of an intra-abdominal desmoid tumor mimicking the recurrence of gastric cancer. A 57-year-old male had undergone distal gastrectomy for advanced gastric cancer. Serum levels of carcinoembryonic antigen were found to be elevated 27 months after surgery. Computed tomography revealed a 15-mm mass in the mesentery of the transverse colon. In addition, radiotracer fluorodeoxyglucose uptake of the tumor was detected by positron emission tomography. The patient was diagnosed with gastric cancer recurrence, and chemotherapy consisting of cisplatin and S-1 was commenced. After five courses of chemotherapy, although no significant clinical response was seen, no new lesions were seen either. Thus, a curative resection of the recurrent tumor seemed possible, which was successfully performed. Histological examination of the resected specimen revealed spindle-shaped tumor cells with collagen fiber progression; no cancer cells were detected. The tumor was diagnosed as an intra-abdominal desmoid tumor. We report a rare case of an intra-abdominal desmoid tumor that mimicked a recurrent tumor arising from gastric cancer. In patients with history of surgery for intra-abdominal malignancies, it may be difficult to distinguish the recurrence of malignancy from desmoid tumors but the possibility of desmoid tumors must be considered in the differential diagnosis.
KW - Desmoid tumor
KW - Gastric cancer
KW - Recurrence
KW - Surgery
UR - http://www.scopus.com/inward/record.url?scp=84900345773&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84900345773&partnerID=8YFLogxK
U2 - 10.1186/1477-7819-12-146
DO - 10.1186/1477-7819-12-146
M3 - Article
C2 - 24884980
AN - SCOPUS:84900345773
VL - 12
JO - World Journal of Surgical Oncology
JF - World Journal of Surgical Oncology
SN - 1477-7819
IS - 1
M1 - 146
ER -