M Marivel, Prasad Guru, Ahmad Samir, R G Santhaseelan, Shankar Aiswerya
Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.
Cureus. 2024 Nov 4;16(11):e72960. doi: 10.7759/cureus.72960. eCollection 2024 Nov.
Desmoid tumors or aggressive fibromatosis are locally aggressive benign tumors. These arise anywhere in the body but are commonly seen in the anterior abdominal wall. The main treatment choices are continuous surveillance, adjuvant chemotherapy, surgery, and postoperative chemotherapy. However, where needs arise, surgery may be done, specifically wide local excision with adequate clearance. In our case report we show a case of a male patient presenting with umbilical hernia and an incidental discovery of a desmoid tumor that was closely proximate to the herniated sac. The plan of action planned were sac excision followed by tumor excision and then anatomical repair, that is, umbilical herniorrhaphy and postoperative chemotherapy.
硬纤维瘤或侵袭性纤维瘤病是局部侵袭性良性肿瘤。这些肿瘤可发生于身体的任何部位,但常见于前腹壁。主要的治疗选择包括持续监测、辅助化疗、手术以及术后化疗。然而,在有需要的情况下,可以进行手术,具体为充分切缘的广泛局部切除。在我们的病例报告中,展示了一名男性患者,他因脐疝就诊,偶然发现一个与疝囊紧密相邻的硬纤维瘤。计划的行动方案是先切除疝囊,然后切除肿瘤,接着进行解剖修复,即脐疝修补术和术后化疗。