Concurrence of abdominal wall desmoid tumor with uterine sub-serosal fibroid: A rare case report from Nepal.

INTRODUCTION AND IMPORTANCE

Abdominal wall desmoid tumors are rare within itself, and its concurrence with uterine sub-serosal fibroid and management in a single setting is not reported. The incidence of desmoid tumors is 2-5 cases per million.

CASE PRESENTATION

A 50-year-old normally menstruating woman presented with insidious onset, dull aching abdominal pain for two and a half months. A bulge was seen, and a mass of 31 × 38 cm with an irregular margin and firm consistency was found on palpation. Abdominal computed tomography (CT) revealed a heterogenous lesion measuring 23.2 × 22.5 × 8.5 cm in the anterior abdominal wall with fat stranding and a well-defined hypodense lesion in the left side of the uterus measuring 7.29 × 5.6 × 4.8 cm. Laparotomy and excision of abdominal wall mass with myomectomy and bilateral salpingectomy were performed.

DISCUSSION

Desmoid tumors (DT) are rare tumors comprising 0.03 % of all neoplasms and 3 % of all soft tissue tumors. Clinical manifestation of DT includes a painless plaque or firm lump and may be associated with pressure symptoms. Fibroids may also cause pressure symptoms or present as a symptomless mass, making the diagnosis confusing. Surgery is the definite treatment, but recurrence may occur.

CONCLUSION

Combined efforts between surgeons and gynecologists are required if concurrence of abdominal wall tumors occur along with fibroids.