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Removing Rectus Abdominis Muscle Desmoid Tumour with Mesh Implant Reinforcement of Musculoaponeurotic Layer

https://doi.org/10.24060/2076-3093-2019-9-4-305-310

Abstract

Introduction. Desmoid fibroma is a rare mesenchymal tumour developing from differentiated fibroblasts and excessive amounts of collagen fibres.
This paper presents a clinical case of removal of an anterior abdominal wall neoplasm — a rectus abdominis muscle desmoid tumour, with the following mesh implant reinforcement of the musculoaponeurotic layer.

Materials and methods. A 35 year old female patient Ch. was referred to the surgery department of “V nadezhnykh rukakh” hospital in November 2019, with complaints of a neoplasm in the anterior abdominal wall that was causing pain when touched, and dysuria. The patient’s clinical diagnosis was recorded as a neoplasm of the anterior abdominal wall.

Results and discussion. The patient underwent further examination and scheduled surgery. The neoplasm was removed completely leaving the surrounding healthy tissues, the anterior abdominal wall was reinforced with a mesh implant. The pathology results matched a rectus abdominis muscle desmoid tumour. Literature offers very little information on anterior abdominal wall neoplasms or procedures for their removal with simultaneous plastic mesh implantation. Cases such as this require further study.

Conclusion. A desmoid tumour of the rectus abdominis muscle can be radically removed; the procedure can be combined with the anterior abdominal wall plastic surgery with a mesh implant, making it possible to achieve a pronounced cosmetic effect regardless of the extensive surgical injury.

About the Authors

S. P. Muzhikov
ООО "NikoMed"
Russian Federation

Muzhikov Stanislav Petrovich — Candidate of Medical Sciences, Surgeon

354 Kalinina str., Krasnodar, 350004



M. Yu. Eremenko
ООО "NikoMed"
Russian Federation

Eremenko Marina Yurevna — Surgeon

354 Kalinina str., Krasnodar, 350004



Yu. S. Kuznetsov
ООО "NikoMed"
Russian Federation

Kuznetsov Yuriy Sergeevich — Surgeon

354 Kalinina str., Krasnodar, 350004



References

1. Khomiakov V.M., Cheremisov V.V., Chaĭka A.V., Vashakmadze L.A., Dar’ialova S.L., Novikova O.V., et al. Experience of surgical treatment of abdominal and intraabdominal desmoid fibromas. Pirogov Russian Journal of Surgery. 2014;(11):17–25 (In Russ.).

2. Kostrygin A.K., Ryabov A.B., Khomyakov V.M., Novikova O.V., Cheremisov V.V., Aksenov S.A., et al. Results of surgical treatment in patients with abdominal desmoid fibromas. P.A. Herzen Journal of Oncology. 2018;7(2):4–15 (In Russ.). DOI: 10.17116/onkolog2018724-15

3. Schoffski P., Requile A., van Cann T. Assessment of physician’s systemic treatment preferences for patients with advanced desmoidtype fibromatosis: experience-based medicine in the absence of high-level evidence. Oncol Res Treat. 2018;41(4):214–9. DOI: 10.1159/000486514

4. Wang Z., Wu J., Lv A., Tian X., Hao C. En bloc resection for intraabdominal/retroperitoneal desmoid-type fibromatosis with adjacent organ involvement: A case series and literature review. Biosci Trends. 2018;12(6):620–6. DOI: 10.5582/bst.2018.01285

5. Diebels I., Blockhuys M., Willemsen P., Pirenne Y. Embolization of a large progressive symptomatic desmoid tumor in the rectus muscle of a female patient with multiple sclerosis: a case report. Acta Chir Belg. 2018;118(3):192–5. DOI: 10.1080/00015458.2017.1341147

6. Loong H.H. Optimal management of desmoid fibromatosis. Hong Kong Med J. 2018;24(3):316. DOI: 10.12809/hkmj187250

7. Diaz Ruiz R., Flores Fernandez V., Pajares Diaz J.A. Desmoid fibromatosis of the esophagogastric junction. Rev Esp Enferm Dig. 2018;110(10):677–8. DOI: 10.17235/reed.2018.5630/2018

8. Fiore M., MacNeill A., Gronchi A., Colombo C. Desmoid-type fibromatosis: evolving treatment standards. Surg Oncol Clin N Am. 2016 Oct;25(4):803–26. DOI: 10.1016/j.soc.2016.05.010

9. Martinez Trufero J., Pajares Bernad I., Torres Ramon I., Hernando Cubero J., Pazo Cid R. Desmoid-type fibromatosis: who, when, and how to treat. Curr Treat Options Oncol. 2017;18(5):29. DOI: 10.1007/s11864-017-0474-0

10. Awwad J., Hammoud N., Farra C. Abdominal wall desmoid during pregnancy: diagnostic challenges. Case Rep Obstet Gynecol. 2013;2013:350894. DOI: 10.1155/2013/350894

11. Otero S., Moskovic E.C., Strauss D.C., Benson C., Miah A.B., Thway K., et al. Desmoid-type fibromatosis. Clin Radiol. 2015;70(9):1038–45. DOI: 10.1016/j.crad.2015.04.015

12. Penel N., Coindre J.M., Bonvalot S., Italiano A., Neuville A., Le Cesne A., et al. Management of desmoid tumours: A nationwide survey of labelled reference centre networks in France. Eur J Cancer. 2016;58:90–6. DOI: 10.1016/j.ejca.2016.02.008

13. Shang H., Braggio D., Lee Y.J., Al Sannaa G.A., Creighton C.J., Bolshakov S., et al. Targeting the Notch pathway: a potential therapeutic approach for desmoid tumors. Cancer. 2015;121(22):4088–96. DOI: 10.1002/cncr.29564

14. Kasper B., Baumgarten C., Bonvalot S., Haas R., Haller F., Hohenberger P., et al. Management of sporadic desmoid-type fibromatosis: a European consensus approach based on patients’ and professionals’ expertise — a sarcoma patients EuroNet and European Organisation for Research and Treatment of Cancer/Soft Tissue and Bone Sarcoma Group initiative. Eur J Cancer. 2015;51(2):127–36. DOI: 10.1016/j.ejca.2014.11.005

15. Huang K., Wang C.M., Chen J.G., Du C.Y., Zhou Y., Shi Y.Q., et al. Prognostic factors influencing event-free survival and treatments in desmoid-type fibromatosis: analysis from a large institution. Am J Surg. 2014;207(6):847–54. DOI: 10.1016/j.amjsurg.2013.08.007


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For citations:


Muzhikov S.P., Eremenko M.Yu., Kuznetsov Yu.S. Removing Rectus Abdominis Muscle Desmoid Tumour with Mesh Implant Reinforcement of Musculoaponeurotic Layer. Creative surgery and oncology. 2019;9(4):305-310. (In Russ.) https://doi.org/10.24060/2076-3093-2019-9-4-305-310

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ISSN 2076-3093 (Print)
ISSN 2307-0501 (Online)