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Kumar S.S.,ESI Medical College and Post Graduate Institute of Medical Science and Research PGIMSR | Ramachandran P.,ESI Medical College and Post Graduate Institute of Medical Science and Research PGIMSR | Veena G.,ESI Medical College and Post Graduate Institute of Medical Science and Research PGIMSR | Madhusudhan N.,ESI Medical College and Post Graduate Institute of Medical Science and Research PGIMSR | Kumbhar U.,ESI Medical College and Post Graduate Institute of Medical Science and Research PGIMSR
Journal of Clinical and Diagnostic Research | Year: 2014

Desmoid Tumour (DT) is a rare benign, myofibroblastic tumour originating from muscle fascia with tendency to recur but, it rarely metastasizes. We are reporting here a case of DT that presented as an intra-abdominal mass with pelvic extension in a patient who underwent hysterectomy for fibroid uterus seventeen years ago. A clinical diagnosis of ovarian malignancy was made. Ovarian tumour markers for surface epithelial and germ cell tumours were negative. Imaging studies suggested DT and the same was excised surgically. A histopathological diagnosis of DT was made and confirmed with immunohistochemistry (IHC) markers. DT should always be considered especially in female patients with previous history of surgery. A complete surgical excision is the treatment of choice with recurrent cases requiring radiotherapy. A differential diagnosis like sarcoma and further toxic chemotherapy can be avoided with careful histopathological evaluation and IHC confirmation of DTs. Source

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