Surgical management of a giant abdominal wall desmoid tumour

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dc.contributor.authorPatel, Nandesh
dc.contributor.authorSlivkova, Ralitsa
dc.contributor.authorJames, Sunil
dc.contributor.authorAlmond, Max
dc.contributor.departmentAnaestheticsen_US
dc.contributor.departmentSurgeryen_US
dc.contributor.roleMedical and Dentalen_US
dc.contributor.trustauthorJames, Sunil
dc.contributor.trustauthorAlmond, Max
dc.date.accessioned2024-09-25T14:22:09Z
dc.date.available2024-09-25T14:22:09Z
dc.date.issued2021-09-03
dc.description.abstractDesmoid tumours are clonal fibroblastic proliferations in soft tissues, characterised by infiltrative growth and local recurrence, but not metastasis. Various treatment strategies for desmoid tumours exist, varying from observation, medical and systemic therapy to radiotherapy and surgery. A 25-year-old woman with a background of familial adenomatous polyposis was referred with an enlarging abdominal desmoid tumour measuring 40×40×40 cm despite repeated radiofrequency ablation, surgical debulking and hormone therapy. The patient had a two-stage operation. The first stage involved excision of the desmoid tumour with full-thickness abdominal wall. The abdominal wall was not closed, and a topical negative pressure seal was applied. After 2 days, she underwent the second stage: reconstruction of the abdominal wall defect with a large porcine mesh which was covered with anterolateral thigh flaps. Postoperative complications included ileus and a fall which required further surgery. The patient was discharged 1 month after the first operation. Abdominal MRI scans were performed at 3 and 7 months postdischarge and showed no recurrence of diseaseBackground.en_US
dc.identifier.citationPatel N, Slivkova R, James S, Almond M. Surgical management of a giant abdominal wall desmoid tumour. BMJ Case Rep. 2021 Sep 3;14(9):e244361. doi: 10.1136/bcr-2021-244361en_US
dc.identifier.doi10.1136/bcr-2021-244361
dc.identifier.eissn1757-790X
dc.identifier.pmid34479897
dc.identifier.urihttp://hdl.handle.net/20.500.14200/5893
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.urlhttps://casereports.bmj.com/en_US
dc.source.journaltitleBMJ Case Reportsen_US
dc.subjectOncology. Pathology.en_US
dc.titleSurgical management of a giant abdominal wall desmoid tumouren_US
dc.typeArticleen_US
dspace.entity.typePublication
oa.grant.openaccessnaen_US
rioxxterms.versionNAen_US
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