Desmoid Tumor of the Popliteal Fossa during Pregnancy

Desmoid tumors are fibroblastic neoplasms that have an intermediate behavior with a highly aggressive infiltrative growth arising from deep muscle or aponeurosis. We present the case of a 34-year-old woman that developed a painless mass in the right popliteal fossa during pregnancy after intracytopl...

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Main Authors: Wolfram Weschenfelder, Robert Lindner, Christian Spiegel, Gunther Olaf Hofmann, Matthias Vogt
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2015/262654
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author Wolfram Weschenfelder
Robert Lindner
Christian Spiegel
Gunther Olaf Hofmann
Matthias Vogt
author_facet Wolfram Weschenfelder
Robert Lindner
Christian Spiegel
Gunther Olaf Hofmann
Matthias Vogt
author_sort Wolfram Weschenfelder
collection DOAJ
description Desmoid tumors are fibroblastic neoplasms that have an intermediate behavior with a highly aggressive infiltrative growth arising from deep muscle or aponeurosis. We present the case of a 34-year-old woman that developed a painless mass in the right popliteal fossa during pregnancy after intracytoplasmic sperm injection and hormonal therapy. The MRI scan showed a hyperintense mass of 6,7 cm × 4,7 cm × 3,8 cm surrounding the lateral head of the gastrocnemius muscle. The open biopsy was done one week after delivery, and the histology showed a desmoid tumor. We performed the resection one week later and found the common peroneal nerve completely surrounded by the tumor. The close resection due to the neurolysis was the reason why an adjuvant radiation with 56 Gy was done. The last clinical examination, 18 month later, did not show any signs of recurrence and an excellent functional outcome. This case demonstrates the possible influences of pregnancy and hormonal therapy on the evolution of desmoid tumors.
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publishDate 2015-01-01
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series Case Reports in Surgery
spelling doaj-art-598141cdc9f14a088e1a33c641b4c2aa2025-02-03T01:03:13ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/262654262654Desmoid Tumor of the Popliteal Fossa during PregnancyWolfram Weschenfelder0Robert Lindner1Christian Spiegel2Gunther Olaf Hofmann3Matthias Vogt4Department of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Erlanger Allee 101, 07747 Jena, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Erlanger Allee 101, 07747 Jena, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Erlanger Allee 101, 07747 Jena, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Erlanger Allee 101, 07747 Jena, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Erlanger Allee 101, 07747 Jena, GermanyDesmoid tumors are fibroblastic neoplasms that have an intermediate behavior with a highly aggressive infiltrative growth arising from deep muscle or aponeurosis. We present the case of a 34-year-old woman that developed a painless mass in the right popliteal fossa during pregnancy after intracytoplasmic sperm injection and hormonal therapy. The MRI scan showed a hyperintense mass of 6,7 cm × 4,7 cm × 3,8 cm surrounding the lateral head of the gastrocnemius muscle. The open biopsy was done one week after delivery, and the histology showed a desmoid tumor. We performed the resection one week later and found the common peroneal nerve completely surrounded by the tumor. The close resection due to the neurolysis was the reason why an adjuvant radiation with 56 Gy was done. The last clinical examination, 18 month later, did not show any signs of recurrence and an excellent functional outcome. This case demonstrates the possible influences of pregnancy and hormonal therapy on the evolution of desmoid tumors.http://dx.doi.org/10.1155/2015/262654
spellingShingle Wolfram Weschenfelder
Robert Lindner
Christian Spiegel
Gunther Olaf Hofmann
Matthias Vogt
Desmoid Tumor of the Popliteal Fossa during Pregnancy
Case Reports in Surgery
title Desmoid Tumor of the Popliteal Fossa during Pregnancy
title_full Desmoid Tumor of the Popliteal Fossa during Pregnancy
title_fullStr Desmoid Tumor of the Popliteal Fossa during Pregnancy
title_full_unstemmed Desmoid Tumor of the Popliteal Fossa during Pregnancy
title_short Desmoid Tumor of the Popliteal Fossa during Pregnancy
title_sort desmoid tumor of the popliteal fossa during pregnancy
url http://dx.doi.org/10.1155/2015/262654
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AT guntherolafhofmann desmoidtumorofthepoplitealfossaduringpregnancy
AT matthiasvogt desmoidtumorofthepoplitealfossaduringpregnancy