Skip to main content

Advertisement

Log in

A Sporadic Desmoid Tumor: an Exceptional Pancreatic Cystic-Solid Mass

  • Case Report
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

Desmoid tumors are locally aggressive and non-metastatic neoplasms with a high rate of recurrence. Desmoid tumors of the pancreas are, however, very rare, and only a few cases have been reported in the literature. This paper reports an anecdotal case of a diffuse pancreatic desmoid tumor with the involvement of the pancreatic head, body, and—partially—tail. The patient underwent the Whipple procedure and subtotal pancreatectomy. Histopathological assessment showed that the tissues were partly positive for smooth muscle actin, but not for S100 or PanCK. The Ki67 index of the cells was only 1 %. Unfortunately, the patient died on the 10th postoperative day due to massive upper gastrointestinal bleeding.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Clark SK, Neale KF, Landgrebe JC, Phillips RK (1999) Desmoid tumours complicating familial adenomatous polyposis. Br J Surg 86:1185–1189

    Article  CAS  PubMed  Google Scholar 

  2. Naylor EW, Gardner EJ, Richards RC (1979) Desmoid tumors and mesenteric fibromatosis in Gardner’s syndrome: report of kindred 109. Arch Surg 114:1181–1185

    Article  CAS  PubMed  Google Scholar 

  3. Nieuwenhuis MH, De Vos Tot Nederveen Cappel W, Botma A, Nagengast FM, Kleibeuker JH, Mathus-Vliegen EM et al (2008) Desmoid tumors in a dutch cohort of patients with familial adenomatous polyposis. Clin Gastroenterol Hepatol 6:215–219

    Article  PubMed  Google Scholar 

  4. Jia C, Tian B, Dai C, Wang X, Bu X, Xu F (2014) Idiopathic desmoid-type fibromatosis of the pancreatic head: case report and literature review. World J Surg Oncol 12:103

    Article  PubMed  PubMed Central  Google Scholar 

  5. Sakorafas GH, Nissotakis C, Peros G (2007) Abdominal desmoid tumors. Surg Oncol 16:131–142

    Article  PubMed  Google Scholar 

  6. Weiss ES, Burkart AL, Yeo CJ (2006) Fibromatosis of the remnant pancreas after pylorus-preserving pancreaticoduodenectomy. J Gastrointest Surg 10:679–688

    Article  PubMed  Google Scholar 

  7. Sedivy R, Ba-Ssalamah A, Gnant M, Hammer J, Kloppel G (2002) Intraductal papillary-mucinous adenoma associated with unusual focal fibromatosis: a ‘postoperative’ stromal nodule. Virchows Arch 441:308–311

    Article  PubMed  Google Scholar 

  8. Lips DJ, Barker N, Clevers H, Hennipman A (2009) The role of APC and beta-catenin in the aetiology of aggressive fibromatosis (desmoid tumors). Eur J Surg Oncol 35:3–10

    Article  CAS  PubMed  Google Scholar 

Download references

Authors’ Contribution

This work was the collaboration between all authors. All authors read and approved the final manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amir Saraee.

Ethics declarations

Conflict of Interest

The authors declare that they have no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ardakani, J.V., Mehrjardi, A.Z., Wadji, M.B. et al. A Sporadic Desmoid Tumor: an Exceptional Pancreatic Cystic-Solid Mass. Indian J Surg 78, 318–320 (2016). https://doi.org/10.1007/s12262-015-1403-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-015-1403-8

Keywords

Navigation