Extra-Abdominal Fibromatosis (Desmoid Tumor): A Rare Tumor of the Lower Extremity Arising from the Popliteal Fossa

Aggressive fibromatosis is a rare soft tissue tumor. Although it lacks metastatic potential, it can grow aggressively in a locally infiltrating pattern. The tumors frequently recur after surgical excision, which remains the treatment of choice. Optional combinations of radiotherapy and/or chemothera...

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Main Authors: Mehmet Ali Kaygin, Ozgur Dag, Bilgehan Erkut, Azman Ates, Refik Cetin Kayaoglu, Hakan Kadioglu
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2011/184906
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author Mehmet Ali Kaygin
Ozgur Dag
Bilgehan Erkut
Azman Ates
Refik Cetin Kayaoglu
Hakan Kadioglu
author_facet Mehmet Ali Kaygin
Ozgur Dag
Bilgehan Erkut
Azman Ates
Refik Cetin Kayaoglu
Hakan Kadioglu
author_sort Mehmet Ali Kaygin
collection DOAJ
description Aggressive fibromatosis is a rare soft tissue tumor. Although it lacks metastatic potential, it can grow aggressively in a locally infiltrating pattern. The tumors frequently recur after surgical excision, which remains the treatment of choice. Optional combinations of radiotherapy and/or chemotherapy have been used postoperatively for recurrent disease and/or inoperable cases. A palpable mass was detected in the popliteal fossa of the right lower extremity in a 48-year-old man. Magnetic resonance imaging showed a contrast-enhancing noncalcified lesion initially felt to represent a vascular tumor. An invasive mass adherent to the surrounding tissue was visualized intraoperatively and extensively debulked. The patient's postoperative course was uneventful. Histologic examination of the surgical specimen was consistent with an extra-abdominal desmoid tumor. After appropriate recognition, wide local excision may be the most appropriate treatment for fibromatosis of the extremity. However, the rarity of this tumor and the difficulty inherent in distinguishing it from similar-appearing tumors are necessitating histologic confirmation of the diagnosis.
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institution Kabale University
issn 2090-6986
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language English
publishDate 2011-01-01
publisher Wiley
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series Case Reports in Vascular Medicine
spelling doaj-art-aa52e8954bb24f30b7e14ef43a9c5b7c2025-02-03T05:46:36ZengWileyCase Reports in Vascular Medicine2090-69862090-69942011-01-01201110.1155/2011/184906184906Extra-Abdominal Fibromatosis (Desmoid Tumor): A Rare Tumor of the Lower Extremity Arising from the Popliteal FossaMehmet Ali Kaygin0Ozgur Dag1Bilgehan Erkut2Azman Ates3Refik Cetin Kayaoglu4Hakan Kadioglu5Department of Cardiovascular Surgery, Erzurum Regional Training and Research Hospital, 25020 Erzurum, TurkeyDepartment of Cardiovascular Surgery, Erzurum Regional Training and Research Hospital, 25020 Erzurum, TurkeyDepartment of Cardiovascular Surgery, Erzurum Regional Training and Research Hospital, 25020 Erzurum, TurkeyDepartment of Cardiovascular Surgery, Medical Faculty of Atatürk University, Erzurum, TurkeyDepartment of Neurosurgery, Medical Faculty of Atatürk University, Erzurum, TurkeyDepartment of Neurosurgery, Medical Faculty of Atatürk University, Erzurum, TurkeyAggressive fibromatosis is a rare soft tissue tumor. Although it lacks metastatic potential, it can grow aggressively in a locally infiltrating pattern. The tumors frequently recur after surgical excision, which remains the treatment of choice. Optional combinations of radiotherapy and/or chemotherapy have been used postoperatively for recurrent disease and/or inoperable cases. A palpable mass was detected in the popliteal fossa of the right lower extremity in a 48-year-old man. Magnetic resonance imaging showed a contrast-enhancing noncalcified lesion initially felt to represent a vascular tumor. An invasive mass adherent to the surrounding tissue was visualized intraoperatively and extensively debulked. The patient's postoperative course was uneventful. Histologic examination of the surgical specimen was consistent with an extra-abdominal desmoid tumor. After appropriate recognition, wide local excision may be the most appropriate treatment for fibromatosis of the extremity. However, the rarity of this tumor and the difficulty inherent in distinguishing it from similar-appearing tumors are necessitating histologic confirmation of the diagnosis.http://dx.doi.org/10.1155/2011/184906
spellingShingle Mehmet Ali Kaygin
Ozgur Dag
Bilgehan Erkut
Azman Ates
Refik Cetin Kayaoglu
Hakan Kadioglu
Extra-Abdominal Fibromatosis (Desmoid Tumor): A Rare Tumor of the Lower Extremity Arising from the Popliteal Fossa
Case Reports in Vascular Medicine
title Extra-Abdominal Fibromatosis (Desmoid Tumor): A Rare Tumor of the Lower Extremity Arising from the Popliteal Fossa
title_full Extra-Abdominal Fibromatosis (Desmoid Tumor): A Rare Tumor of the Lower Extremity Arising from the Popliteal Fossa
title_fullStr Extra-Abdominal Fibromatosis (Desmoid Tumor): A Rare Tumor of the Lower Extremity Arising from the Popliteal Fossa
title_full_unstemmed Extra-Abdominal Fibromatosis (Desmoid Tumor): A Rare Tumor of the Lower Extremity Arising from the Popliteal Fossa
title_short Extra-Abdominal Fibromatosis (Desmoid Tumor): A Rare Tumor of the Lower Extremity Arising from the Popliteal Fossa
title_sort extra abdominal fibromatosis desmoid tumor a rare tumor of the lower extremity arising from the popliteal fossa
url http://dx.doi.org/10.1155/2011/184906
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