Desmoid Tumor of the Left Abdominal Wall: A Rare Case Report

Abstract

Desmoid tumors are the type of tumors that are infrequent. However, Desmoid tumors can invade in nearby areas and can re-appear even after excision. They can reach the abdominal areas and can result in pain and swelling. The author presents a case of Desmoid tumors in a 24 years old female involving the rectus sheath. Case Summary: We present a case of 24-year-old woman initially diagnosed with fibroadenoma of the right breast. After a month of the procedure, the patient complained of nausea, pain and cramping in the left abdominal area. She was referred to us for further evaluation of the growing mass in the left abdominal area. A Trucut Biopsy revealed an abdominal mass in the left upper quadrant about 5x5cm hard in consistency. A desmoid tumor was revealed in the diagnosis. She underwent wide local excision. Conclusions: Desmoid tumors are a rare type of tumor. These types of tumors arise most commonly in the upper limb, lower limb and in the popliteal region. Our case presents a representation of the tumor in the abdominal region particularly rectus sheet. MRI and CT scan can be helpful in diagnosis of these tumors but histological findings are necessary. Our case outlines the importance of identification of desmoid tumors in a timely manner and also the symptoms that it presents with. These tumors are to be treated with surgical excision with follow up every two to four weeks.