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Coexistence of duodenum derived aggressive fibromatosis and paraduodenal hydatid cyst: A case report and review of literature

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World Journal of Gastrointestinal Surgery 2018年第8期10卷 90-94页

作者： Sami Akbulut Mehmet Yilmaz Saadet Alan Mehmet Kolu Nese Karadag Department of Surgery and Liver Transplant Institute Inonu University Faculty of Medicine Department of Surgery Inonu University Faculty of Medicine Department of Pathology Inonu University Faculty of Medicine Department of Radiology Inonu University Faculty of Medicine

Intra-abdominal aggressive fibromatosis is a locally aggressive tumor mostly originating from the mesentery or retroperitoneal space, infiltrating adjacent tissues, and very rarely metastasizing to distant organs. There are only two case reports in the English language literature where intra-abdominal aggressive fibromatosis originated from the intestinal wall. In this study, we aimed to report a case of aggressive fibromatosis originating from the muscularis propria layer of the duodenum and invading pancreas. Another interesting aspect of this case is that a primary paraduodenal hydatid cyst was incidentally detected in the surgical specimen. A 46-year-old female patient presented to our clinic with postprandial nausea and vomiting. A contrast-enhanced abdominal computerized tomography revealed a mass lesion with a size of 100 mm × 80 mm which originated from the distal pancreas and compressed the gastric pilor externally. Upon exploration the distal part of duodenum, proximaljejunum, and pancreatic mass were noted to form a conglomerated structure. Therefore, the fourth part of the duodenum, a 25 cm part of the proximal jejunum, distal pancreas, and the spleen were excised enbloc. The pathology report of the specimen indicated fibromatosis with a diameter of 55 mm that originated from the muscularis propria of the duodenum and extended into the pancreatic parenchyma. There was also an incidentally detected 10 mm paraduodenal hydatid cyst. No tumor recurrence was detected at a follow-up period of 24 mo. In conclusion, the most ideal treatment of desmoid-type fibromatosis is surgical resection of the mass lesion with clean surgical borders. Although rare, this tumor may originate from the intestinal wall. Histopathological verification is of great significance for a proper diagnosis.

关键词： Duodenal wall Hydatid cyst aggressive fibromatosis Intra-abdominal fibromatosis Desmoid tumor Desmoid-type fibromatosis

Desmoid type fibromatosis: A case report with an unusual etiology

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World Journal of Gastrointestinal Oncology 2017年第9期9卷 385-389页

作者： Syed Faisal Jafri Obada Obaisi Gerardo G Vergara Joe Cates Jaswinder Singh Jennifer Feeback Harathi Yandrapu Gastroenterology Research Medical CenterKansas City School of Medicine University of Missouri in Kansas City Pathology Research Medical CenterKansas City General and Vascular Surgery Research Medical CenterKansas City Hematology/Oncology Research Medical CenterKansas City Clinical Research Research Medical CenterKansas City Internal Medicine Department of Research Medical Center and Research Department of Kansas City Veterans Affairs Medical Center

Desmoid type fibromatosis(DTF) is a rare, locally invasive, non-metastasizing soft tissue tumor. We report an interesting case of DTF involving the pancreatic head of a 54-year-old woman. She presented with intermittent dysphagia and significant weight loss within a 3-mo period. Laboratory findings showed mild elevation of transaminases, significant elevation of alkaline phosphatase and direct hyperbilirubinemia, indicating obstructive jaundice. Computerized tomography of the abdomen revealed a mass in the head of the pancreas, dilated common bile duct, and dilated pancreatic duct. Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound showed a large hypoechoic massin the head of the pancreas causing extrahepatic biliary obstruction and pancreatic ductal dilation. The patient underwent a successful partial pancreatico-duodenectomy and cholecystectomy. She received no additional therapy after surgery, and liver function tests were normalized within nine days after surgery. Currently, surgical resection is the recommended first line treatment. The patient will be followed for any recurrence.

关键词： Desmoid type fibromatosis Desmoid tumor aggressive fibromatosis Pancreas Painless jaundice

Intermittent ice-cooling to prevent skin heat injury caused by highintensity focused ultrasound therapy targeting desmoid-type fibromatosis:A case report

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International Journal of Nursing Sciences 2021年第1期8卷 136-140页

作者： Liangyu Fang Xiaoye Hu Yinchuan Xu Hongling Sun Hong Shen Department of Anesthesiology The Second Affiliated Hospital of Zhejiang UniversitySchool of MedicineHangzhouChina Department of Medical Oncology The Second Affiliated Hospital of Zhejiang UniversitySchool of MedicineHangzhouChina Department of Cardology The Second Affiliated Hospital of Zhejiang UniversitySchool of MedicineHangzhouChina Department of Specialist Nursing The Second Affiliated Hospital of Zhejiang UniversitySchool of MedicineHangzhouChina

Introduction:Desmoid-type fibromatosis(DF)is a fibrous tumor characterized by low-grade malignant and easy invasive growth and high ***-intensity focused ultrasound(HIFU)therapy has been identified as a novel non-invasive approach for DF treatment;however,the ultrasonic energy generated by HIFU can cause skin heat ***:A 31-year-old female patient with signs and symptoms of DF received treatment in our *** patient had undergone HIFU treatment six times from April 27,2018,to August 21,*** HIFU therapy for the third time,she had a third-degree skin burn showing as orange peel-like change and spent three months to promote the recovery of the skin *** intermittent ice-cooling strategy was used to avoid skin damage during the fourth HIFU *** patient did not have any apparent skin injury during the last three HIFU therapy and acquired satisfactory anti-tumor therapeutic ***:There are differences in the thermal selectivity of tumor tissues,which leads to different critical thermal injury temperature values that the tissue can ***-cooling can lower skin tissue temperature and reduce the thermal damage caused by HIFU treatment.

关键词： Adult aggressive fibromatosis Burns High-intensity focused ultrasound ablation Ice Skin temperature

An unusual case of fatty liver in a patient with desmoid tumor

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World Journal of Gastroenterology 2012年第24期18卷 3173-3176页

作者： Francesca De Felice Daniela Musio Rossella Caiazzo Bartolomeo Dipalma Lavinia Grapulin Camilla Proietti Semproni Vincenzo Tombolini Department of Radiological Sciences-Oncology and Pathological Anatomy and Department of RadiotherapyUniversity of Rome "La Sapienza"00161 RomeItaly

A desmoid tumor,also known as aggressive fibromatosis,is a rare benign neoplasm that arises from fascial or musculoaponeurotic *** can occur in any anatomical location,most commonly the abdominal wall,shoulder girdle and *** typical clinical presentation is a painless mass with a slow and progressive invasion of contiguous *** is associated with a high local recurrence rate after *** issues regarding the optimal treatment of desmoid tumors remain *** surgical resection with a wide margin(2-3 cm) remains the gold standard treatment with regard to preserving quality of *** alone has been shown to be effective for the control of unresectable or recurrent *** tumors tend to be locally infiltrative,therefore,the fields must be generous to prevent marginal *** radiation dose appropriate for treating desmoid tumors remains *** present a 25-year-old Caucasian man with local recurrence of a desmoid tumor after repeated surgical resection,treated with *** patient achieved complete tumor regression at 4 mo after radiotherapy,and he is clinically free of disease at 12 mo after the end of treatment,with an acceptable quality of *** patient developed short bowel syndrome as a complication of second surgical ***,radiotherapy might have worsened an already present malabsorption and so led to steatohepatitis.

关键词： Desmoid tumor aggressive fibromatosis Fattyliver

A huge intrathoracic fibromatosis with rapid aggression

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Chinese Medical Journal 2012年第24期125卷 4530-4532页

作者： CHEN Jiang-hong JIN Er-hu CHEN Guang-yong Department of Radiology Beijing Friendship ttospital Capital Medical University Beijing 100050 China

aggressive fibromatosis is a rare disease. The pathological feature of tile disease is that the tumorcells appeal as benign in biological behavior. So structures such as bone, morphology, but aggressive in the tumor infiltrates adjacent vessels and nerves as well as having a high recurrence rate after surgical resection, but lacks the capacity for forming distant metastases. We here report a patient who underwent a series of imaging examinations and surgery.

关键词： aggressive fibromatosis intrathoracic computed tomography