Diseases of the Colon & Rectum

, Volume 43, Issue 7, pp 1012–1014 | Cite as

Familial adenomatous polyposis complicated by an intrahepatic desmoid tumor

Report of a case
  • Simon B. Middleton
  • Katy Fidler
  • Warren Hyer
  • Robin K. S. Phillips
Case Reports


Desmoids are uncommon proliferations of fibroblasts that occur with disproportionate frequency in patients with familial adenomatous polyposis. They do not metastasize and are histologically benign. Despite this, the unpredictable and often aggressive nature of familial adenomatous polyposis-associated desmoids and their tendency to occur in intra-abdominal sites means that they present a difficult management problem, and they are a leading cause of death in patients with familial adenomatous polyposis who have undergone colectomy. We report a case of a patient with familial adenomatous polyposis who had extensive and aggressive desmoid disease and whose management was further complicated by a large intrahepatic desmoid. There are no previous reports of desmoids occurring in the liver.

Key words

Familial adenomatous polyposis Desmoid Intrahepatic 


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Copyright information

© The American Society of Colon and Rectal Surgeons 2000

Authors and Affiliations

  • Simon B. Middleton
    • 1
  • Katy Fidler
    • 2
  • Warren Hyer
    • 2
  • Robin K. S. Phillips
    • 1
  1. 1.From the Polyposis Registry, Imperial Cancer Research Fund Colorectal Cancer UnitSt Mark's HospitalLondonUnited Kingdom
  2. 2.the Department of PaediatricsNorthwick Park HospitalLondonUnited Kingdom

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