Skip to main content Skip to main navigation menu Skip to site footer

The similarity of a desmoid tumor with parasitic leiomyoma: a very rare case report and literature review

  • Hasanuddin Hasanuddin ,
  • Derevie Hendryan ,

Abstract

Introduction: Desmoid tumors are rare cases that arise from aponeurotic tissue. Parasitic leiomyoma is a rare type of leiomyoma that grows in reproductive age, but differential diagnostics have something in common.

Case report: A case of a 34-year-old Asian woman, secundigravida, outpatient clinic, referred from surgery division with chief complaint of a lump in the stomach that has become bigger in the past 4 years. There was no menstrual complaint, and the patient had a history of one previous cesarean section. Computed Tomography (CT) revealed a mass on the abdominal wall that extends to the abdominal cavity, and the patient underwent a mass biopsy and the histopathology results were obtained in the form of uterine leiomyoma or fibroid. During the operation, the mass was obtained from the abdominal wall and had no connection to internal reproductive organs, and due to the large mass, we consulted to digestive surgery division for mass resection, and a mesh graft was placed. Based on the results of tissue examination, the desmoid fibromatosis tumor was obtained from histological findings.

Conclusion: Preoperative management by performing magnetic resonance imaging (MRI) can be useful to evaluate the difference between both diseases. Immunohistochemistry stain should be performed to differentiate between both diseases in case the MRI unavailable.

References

  1. Lin C-H, Chang T-J, Hou M-M, AbdelRahman M, Wang C-W, Wang L-J, et al. How to differentiate abdominal wall leiomyomas from desmoid tumors? Formos J Surg. 2019;52(4):127. Available from: http://dx.doi.org/10.4103/fjs.fjs_115_18
  2. Midya M, Dewanda NK. Primary anterior abdominal wall leiomyoma- a diagnostic enigma. J Clin Diagn Res. 2014/10/20. 2014;8(10):NJ01-NJ2. Available from: https://pubmed.ncbi.nlm.nih.gov/25478406
  3. Garrido Oyarzún MF, Saco A, Castelo-Branco C. Anterior abdominal wall parasitic leiomyoma: case report. Gynecol Endocrinol. 2017;34(2):103–6. Available from: http://dx.doi.org/10.1080/09513590.2017.1379502
  4. Al-Jefout M, Walid A, Esam A, Amin A, Nather H, Sultan N, et al. Abdominal wall desmoid tumor mimicking a subserosal uterine leiomyoma. Int J Gen Med. 2011/06/08. 2011;4:443–6. Available from: https://pubmed.ncbi.nlm.nih.gov/21731895
  5. Amin O, Howlett DC. An unusual cause of right iliac fossa pain. BMJ. 2018;k4153. Available from: http://dx.doi.org/10.1136/bmj.k4153
  6. Singh R, Vaishnav V, Gopal S, Yadav R. Desmoid Tumor Mimicking Uterine Leiomyoma. J Case Reports. 2013;3(2):339–43. Available from: http://dx.doi.org/10.17659/01.2013.0079
  7. Skubitz KM. Biology and Treatment of Aggressive Fibromatosis or Desmoid Tumor. Mayo Clin Proc. 2017;92(6):947–64. Available from: http://dx.doi.org/10.1016/j.mayocp.2017.02.012
  8. Book Review Myomata of the Uterus. By Howard A. Kelly, Professor of Gynecology in the Johns Hopkins University; Gynecologist-in-chief to the Johns Hopkins Hospital; and Thomas S. Cullen, Associate Professor of Gynecology, Johns Hopkins University; Associate Gynecologist to the Johns Hopkins Hospital. Illustrated by August Horn and Hermann Becker. Philadelphia and London: W. B. Saunders Company. 1909. Bost Med Surg J. 1909;161(13):446. Available from: http://dx.doi.org/10.1056/nejm190909231611308
  9. Khor AC-M, Rajaratnam N. Bilateral Adrenal Leiomyoma: A Rare Tumor With Unusual Presentation. J Endocrinol Metab. 2020;10(3–4):106–9. Available from: http://dx.doi.org/10.14740/jem655
  10. Kumar D, Gangatirkar G, Mishra U. The wandering leiomyoma with unusual imaging findings: a rare presentation. International Journal of Research and Review. 2020;7(9):1-4.

How to Cite

Hasanuddin, H., & Hendryan, D. (2022). The similarity of a desmoid tumor with parasitic leiomyoma: a very rare case report and literature review. Bali Medical Journal, 11(1), 77–80. https://doi.org/10.15562/bmj.v11i1.3044

HTML
0

Total
0

Share

Search Panel

Hasanuddin Hasanuddin
Google Scholar
Pubmed
BMJ Journal


Derevie Hendryan
Google Scholar
Pubmed
BMJ Journal