Franco LS, Vázquez SGJ, Granados SE, Arista NJ

Language: Spanish
References: 21
Page: 412-417
PDF size: 332.69 Kb.

ABSTRACT

A 31 year-old women with a history of uterine curettase four years before. Her ailment began began a year before with pain in epigastrium, abdominal distension, sensation of gastric fullness, increase of the abdominal perimeter associated to ascitis and weight loss in 6 kg. Ovarian carcinoma was suspected based on elevation of CA 19-9 in 3349 U/ml and CA 125 of 244 U/mL markers. During the laparotomy it was found diffuse increase of the vesical wall, epiploon, mesenterio, bigger caul and fine points in the visceral peritoneum that’s why it was suspected of a peritoneal carcinomatosis. Both ovaries of normal size. Histologically there is extensive fibrosis locally infiltrating. The intra-abdominal fibromatosis has modified the way of intestinal handles, it presents extensive increase of the gastric wall and of the peritoneum associated to persistent ascitis. It is important to contemplate the intra-abdominal fibromatosis in the differential diagnosis in clinical presentations like this, since they simulate peritoneal carcinomatosis.

REFERENCES

1. Dong HK, Goldsmith HS, et al. Intra-abdominal desmoid tumor. Cancer 1971;27:1041-43.

2. Kempson RL, Fletcher CD, Evans HL, et al. Atlas of tumor pathology. Tumors of the soft tissues. Armed Forces Institute of Pathology. Washington, 2001;pp:78-81.

3. Rosai A. Surgical Pathology. 9th ed. New York: Mosby, 2004;pp:2249-52.

4. Yantiss RK, Spiro IJ, Rosenberg AE, et al. Gastrointestinal stromal tumor versus intra-abdominal fibromatosis of the bowel wall. A clinically important diferencial diagnosis. Am J Surg Pathol 2000;24(7):947-57.

5. Rodríguez BM, Karakousis CP. Desmoid tumors in patients with familial adenomatous polyposis. Cancer 1994;74:1270- 4.

6. Baron RL, Lee JK. Mesenteric desmoid tumors: sonographic and computed tomographic appearance. Radiology 1981;140(3): 777-79.

7. Levy AA, Rimola J. Benign fibrous tumors and tumorlike. Lesions of the mesentery: Radiologic-Pathologic Correlation 2006;(2):245-64.

8. Ridel RH, Petras RE, et al. Tumors of the intestines. Washington: Armed Forces Institute of Pathology, 2002.

9. Casillas J, Sais GJ, et al. Imaging of intra and extraabdominal desmoid tumors. RadioGraphics 1991;11(6):959-68.

10. Burke AP, Sobon LH, et al. Intra-abdominal fibromatosis: a pathologic analysis of 130 tumors with comparison of clinical subgroups. Am J Surg Pathol 1990;14(4):335-41.

11. Monihan JM, Carr NJ, et al. CD 34 immunoexpression in stromal tumors of the gastrointestinal tract and in mesenterio fibromatosis. Histopathology 1994(25):469-73.

12. Enzinger and Weiss´s. Soft Tissue Tumors. 4 th ed. New York: Mosby, 2001;p:230.

13. Miettinen M, Monihan JM, et al. Gastrointestinal stromal tumors-smooth muscle tumors (GISTs) primary in the omentum and mesentery: clinicopathologic and immunohistochemical study of 26 cases. Am J Surg Pathol 1999;23(9):1109- 18.

14. Gabbiani G, Majno G. Dupuytren´s Contracture: Fibroblast Contraction? Am J Pathol 1972; (66):131-46.

15. Marcadores tumorales. National Cancer Institute. Revisión página Web http://www.cancer.gov

16. Tytgat GN, Roozendaal K, et al. Successful treatment of a patient with retractile mesenteritis with prednisone and azathioprine. Gastroenterology 1980;79(2):352-56.

17. Goodlad JR, Fletcher CD. Solitary fibrous tumour arising at unusual sites: analysis of a series. Histopathology 1991;19(6):515-22.

18. Fujiyoshi F, Kajiya Y, et al. Retractile mesenteritis: small-bowel radiography, CT, and MR imaging. AJR Am J Roentgenol 1997;169(3):791-93.

19. Pickhardt PF, Bahalla S. Unnusual nonneoplastic peritoneal and subperitoneal conditions: CT findings. Radiographics. 2005;25(3):719-30.

20. Smith AJ, Lewis JJ, et al. Surgical management of intraabdominal desmoid tumors. Br J Surg 2000;87(5):608-13.

21. Levy AD, Rimola J, et al. Benign fibrous tumors and tumor like lesions of the mesentery: Radiologic-pathologic correlation. Radiographics 2006;26(1):245-64.