Mesenteric desmoid tumor after laparoscopic resection of stage I endometrial cancer: A case report
Mesenteric desmoid tumors (DTs) are rare, and there are no specific imaging features that can aid definitive diagnosis. This article presents the case of a 61-year-old woman found to have intra-abdominal DT located in the mesentery at two-year follow-up after laparoscopy-assisted anterior resection...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Case Reports in Women's Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911225000098 |
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| author | Mamiko Kusaka Tetsuo Maeda Kazuhiro Kitajima Homare Murakoshi Takahiro Watanabe Shigeki Yoshida Yuka Sano Noriko Osumi Mieko Inagaki |
| author_facet | Mamiko Kusaka Tetsuo Maeda Kazuhiro Kitajima Homare Murakoshi Takahiro Watanabe Shigeki Yoshida Yuka Sano Noriko Osumi Mieko Inagaki |
| author_sort | Mamiko Kusaka |
| collection | DOAJ |
| description | Mesenteric desmoid tumors (DTs) are rare, and there are no specific imaging features that can aid definitive diagnosis. This article presents the case of a 61-year-old woman found to have intra-abdominal DT located in the mesentery at two-year follow-up after laparoscopy-assisted anterior resection for stage I endometrial cancer. Computed tomography (CT) indicated the presence of a solitary tumor arising from the intestinal wall or mesentery. Subsequent magnetic resonance imaging and integrated positron emission tomography/CT with 2-18F-fluoro-2-deoxy-d-glucose suggested DT rather than recurrence, but surgical resection was chosen after considering the potential risks. Surgery confirmed the diagnosis, revealing a tumor at the level of the jejunal mesentery and approximately 5 cm in diameter. The mesenteric tumor was resected, along with part of the jejunum and the greater omentum. Histopathological examination of the surgical specimens confirmed the diagnosis of DT. As mesenteric DT after laparoscopic resection of stage I endometrial cancer is rare, a high degree of suspicion is necessary for diagnosis. Given that laparoscopic surgery is increasingly used in gynecological clinical practice, gynecologists and radiologists should be aware that DT should be considered in the differential diagnosis when a mesenteric mass is detected during follow-up after a surgical procedure, including laparoscopy. |
| format | Article |
| id | doaj-art-3422b2f811054dec90fb013c44a3de1b |
| institution | Kabale University |
| issn | 2214-9112 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj-art-3422b2f811054dec90fb013c44a3de1b2025-01-26T05:03:54ZengElsevierCase Reports in Women's Health2214-91122025-03-0145e00688Mesenteric desmoid tumor after laparoscopic resection of stage I endometrial cancer: A case reportMamiko Kusaka0Tetsuo Maeda1Kazuhiro Kitajima2Homare Murakoshi3Takahiro Watanabe4Shigeki Yoshida5Yuka Sano6Noriko Osumi7Mieko Inagaki8Department of Gynecology and Obstetrics, Chibune General Hospital, 3-2-39 Fukumachi, Nishiyodogawa-ku, Osaka City, Osaka 555-0034, Japan; Corresponding author at: Cherry Ai #216, 161-1 Yagi, Okubo-cho, Akashi-shi, Hyogo 674-0063, Japan.Department of Radiology, Chibune General Hospital, 3-2-39 Fukumachi, Nishiyodogawa-ku, Osaka City, Osaka 555-0034, JapanDepartment of Radiology, Hyogo College of Medicine Hospital, 1-1 Mukogawamachi, Nishinomiya City, Hyogo 663-8501, JapanDepartment of Gynecology and Obstetrics, Chibune General Hospital, 3-2-39 Fukumachi, Nishiyodogawa-ku, Osaka City, Osaka 555-0034, JapanDepartment of Pathology, Chibune General Hospital, 3-2-39 Fukumachi, Nishiyodogawa-ku, Osaka City, Osaka 555-0034, JapanDepartment of Gynecology and Obstetrics, Chibune General Hospital, 3-2-39 Fukumachi, Nishiyodogawa-ku, Osaka City, Osaka 555-0034, JapanDepartment of Gynecology and Obstetrics, Chibune General Hospital, 3-2-39 Fukumachi, Nishiyodogawa-ku, Osaka City, Osaka 555-0034, JapanDepartment of Gynecology and Obstetrics, Chibune General Hospital, 3-2-39 Fukumachi, Nishiyodogawa-ku, Osaka City, Osaka 555-0034, JapanDepartment of Gynecology and Obstetrics, Chibune General Hospital, 3-2-39 Fukumachi, Nishiyodogawa-ku, Osaka City, Osaka 555-0034, JapanMesenteric desmoid tumors (DTs) are rare, and there are no specific imaging features that can aid definitive diagnosis. This article presents the case of a 61-year-old woman found to have intra-abdominal DT located in the mesentery at two-year follow-up after laparoscopy-assisted anterior resection for stage I endometrial cancer. Computed tomography (CT) indicated the presence of a solitary tumor arising from the intestinal wall or mesentery. Subsequent magnetic resonance imaging and integrated positron emission tomography/CT with 2-18F-fluoro-2-deoxy-d-glucose suggested DT rather than recurrence, but surgical resection was chosen after considering the potential risks. Surgery confirmed the diagnosis, revealing a tumor at the level of the jejunal mesentery and approximately 5 cm in diameter. The mesenteric tumor was resected, along with part of the jejunum and the greater omentum. Histopathological examination of the surgical specimens confirmed the diagnosis of DT. As mesenteric DT after laparoscopic resection of stage I endometrial cancer is rare, a high degree of suspicion is necessary for diagnosis. Given that laparoscopic surgery is increasingly used in gynecological clinical practice, gynecologists and radiologists should be aware that DT should be considered in the differential diagnosis when a mesenteric mass is detected during follow-up after a surgical procedure, including laparoscopy.http://www.sciencedirect.com/science/article/pii/S2214911225000098Familial adenomatous polyposisDesmoid-type fibromatosisGynecological tumorsTumor recurrenceTumor metastasis |
| spellingShingle | Mamiko Kusaka Tetsuo Maeda Kazuhiro Kitajima Homare Murakoshi Takahiro Watanabe Shigeki Yoshida Yuka Sano Noriko Osumi Mieko Inagaki Mesenteric desmoid tumor after laparoscopic resection of stage I endometrial cancer: A case report Case Reports in Women's Health Familial adenomatous polyposis Desmoid-type fibromatosis Gynecological tumors Tumor recurrence Tumor metastasis |
| title | Mesenteric desmoid tumor after laparoscopic resection of stage I endometrial cancer: A case report |
| title_full | Mesenteric desmoid tumor after laparoscopic resection of stage I endometrial cancer: A case report |
| title_fullStr | Mesenteric desmoid tumor after laparoscopic resection of stage I endometrial cancer: A case report |
| title_full_unstemmed | Mesenteric desmoid tumor after laparoscopic resection of stage I endometrial cancer: A case report |
| title_short | Mesenteric desmoid tumor after laparoscopic resection of stage I endometrial cancer: A case report |
| title_sort | mesenteric desmoid tumor after laparoscopic resection of stage i endometrial cancer a case report |
| topic | Familial adenomatous polyposis Desmoid-type fibromatosis Gynecological tumors Tumor recurrence Tumor metastasis |
| url | http://www.sciencedirect.com/science/article/pii/S2214911225000098 |
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