Hapgood Connie, DeLong Allison
Department of Radiology, Memorial University, St. John's, NL, Canada.
Faculty of Medicine, Memorial University, St. John's, NL, Canada.
Case Rep Radiol. 2017;2017:2312617. doi: 10.1155/2017/2312617. Epub 2017 Dec 18.
Intra-abdominal desmoid tumors are commonly associated with genetic syndromes such as familial polyposis coli. Radiological cross imaging studies such as CT and MRI are used in the preoperative work-up of such tumors. Postoperatively, CT and MRI are useful in the assessment of recurrent desmoid tumors. MRI is more accurate in tissue characterization. Where possible, surgical resection remains the standard first-line treatment. For patients where surgery is not possible, or the resection margins are not clear, other forms of treatment are possible. These include hormonal and nonhormonal options. We present a case of a recurrent sporadic intra-abdominal (mesenteric) desmoid tumor. Such an entity is rare with few cases reported in the literature. Treatment options regarding intra-abdominal desmoid tumors will be discussed.
腹内硬纤维瘤通常与诸如家族性腺瘤性息肉病等遗传综合征相关。放射学交叉成像研究，如CT和MRI，用于此类肿瘤的术前检查。术后，CT和MRI有助于评估复发性硬纤维瘤。MRI在组织特征描述方面更准确。在可能的情况下，手术切除仍然是标准的一线治疗方法。对于无法进行手术或切除边缘不清晰的患者，可以采用其他治疗形式。这些包括激素和非激素治疗选择。我们报告一例复发性散发性腹内（肠系膜）硬纤维瘤病例。这种实体很罕见，文献报道的病例很少。将讨论腹内硬纤维瘤的治疗选择。
