Fukuhara Sotaro, Yoshimitsu Masanori, Yano Takuya, Chogahara Ichiya, Yamasaki Rie, Ebara Shin, Okajima Masazumi
Department of Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima 730-8518, Japan.
Department of Pathology, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima 730-8518, Japan.
J Surg Case Rep. 2022 Feb 15;2022(2):rjab529. doi: 10.1093/jscr/rjab529. eCollection 2022 Feb.
Desmoid tumors are a very rare disease associated with familial adenomatous polyposis, surgical trauma and hormonal factors. Surgical trauma is a critical trigger for sporadic desmoid tumors. Tumor development has been reported, and laparoscopic surgery has become more widely performed than the conventional open surgery. However, a few cases of desmoid tumors have developed after robot-assisted surgery. When desmoid tumors develop after cancer surgery, they are often difficult to distinguish from cancer recurrence. This differentiation is important for patients with bladder cancer because it helps determine the treatment plan. However, very few cases of mesenteric desmoid tumors after cystectomy for bladder cancer have been reported. Herein, we present a case of desmoid tumor that developed following robot-assisted laparoscopic cystectomy for bladder cancer. The tumor was resected via minilaparotomy with laparoscopic assistance for diagnostic treatment.
硬纤维瘤是一种非常罕见的疾病，与家族性腺瘤性息肉病、手术创伤和激素因素有关。手术创伤是散发性硬纤维瘤的关键触发因素。已有肿瘤发展的报道，且腹腔镜手术比传统开放手术应用更为广泛。然而，机器人辅助手术后也有少数硬纤维瘤病例发生。当硬纤维瘤在癌症手术后发生时，它们往往难以与癌症复发相区分。这种区分对膀胱癌患者很重要，因为它有助于确定治疗方案。然而，膀胱癌膀胱切除术后肠系膜硬纤维瘤的病例报道非常少。在此，我们报告一例膀胱癌机器人辅助腹腔镜膀胱切除术后发生的硬纤维瘤病例。该肿瘤通过迷你剖腹术并在腹腔镜辅助下进行切除以用于诊断性治疗。
