Skip to main content
Log in

Desmoid tumors of the right rectus abdominus muscle in postpartum women

  • Original Article
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Background

Desmoid tumors are benign neoplasms that most often arise from muscle aponeurosis and have been associated with both trauma and pregnancy. The etiology of desmoids has not been determined.

Clinical characteristics

We present here four almost identical cases with desmoids occurring in the same location, the right rectus abdominus muscle in young post partum females. All were over the age of 30 at the time of diagnosis. Three of them had previously used oral contraceptive agents for an average of 3 years. None had a history of trauma to the area of involvement. Three had early surgical resection and one was treated with tamoxifen and imatinib without response and then had surgical resection.

Discussion

All four patients are disease free at a median follow-up of 2.5 years. The possible etiology of desmoids tumors in this location in postpartum females is discussed.

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.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Schlemmer M (2005) Desmoid tumors and deep fibromatoses. Hematol Oncol Clin North Am 19:565–571. vii–viii. doi:10.1016/j.hoc.2005.03.008

    Google Scholar 

  2. Hosalkar HS et al (2006) Desmoid tumors and current status of management. Orthop Clin North Am 37:53–63. doi:10.1016/j.ocl.2005.08.004

    Article  PubMed  Google Scholar 

  3. Lopez R et al (1990) Problems in diagnosis and management of desmoid tumors. Am J Surg 159:450–453. doi:10.1016/S0002-9610(05)81243-7

    Article  PubMed  CAS  Google Scholar 

  4. Anthony T et al (1996) Desmoid tumors. J Am Coll Surg 182:369–377

    PubMed  CAS  Google Scholar 

  5. De Cian F et al (1999) Desmoid tumor arising in a cesarean section scar during pregnancy: monitoring and management. Gynecol Oncol 75:145–148. doi:10.1006/gyno.1999.5539

    Article  PubMed  Google Scholar 

  6. Deyrup AT, Tretiakova M, Montag AG (2006) Estrogen receptor-beta expression in extraabdominal fibromatoses: an analysis of 40 cases. Cancer 106:208–213. doi:10.1002/cncr.21553

    Article  PubMed  CAS  Google Scholar 

  7. Hansmann A et al (2004) High-dose tamoxifen and sulindac as first-line treatment for desmoid tumors. Cancer 100:612–620. doi:10.1002/cncr.11937

    Article  PubMed  CAS  Google Scholar 

  8. Durkin AJ et al (2005) Full-term gestation and transvaginal delivery after wide resection of an abdominal desmoid tumor during pregnancy. J Surg Oncol 89:86–90. doi:10.1002/jso.20189

    Article  PubMed  Google Scholar 

  9. Kunieda K et al (1999) An abdominal desmoid tumor involving the xyphoid and costal chondrium associated with pregnancy: report of a case. Surg Today 29:927–930. doi:10.1007/BF02482789

    Article  PubMed  CAS  Google Scholar 

  10. Way JC, Culham BA (1999) Desmoid tumour. The risk of recurrent or new disease with subsequent pregnancy: a case report. Can J Surg 42:51–54

    PubMed  CAS  Google Scholar 

  11. Allen MV, Novotny DB (1997) Desmoid tumor of the vulva associated with pregnancy. Arch Pathol Lab Med 121:512–514

    PubMed  CAS  Google Scholar 

  12. Gherman RB et al (1999) Desmoid tumor of the larynx complicating pregnancy: a case report. Am J Obstet Gynecol 180:1036–1037. doi:10.1016/S0002-9378(99)70681-2

    Article  PubMed  CAS  Google Scholar 

  13. Ober WB et al (1955) Desmoid tumor of the popliteal space occurring during pregnancy: report of a case with bioassays. J Natl Cancer Inst 16:569–577

    PubMed  CAS  Google Scholar 

  14. Sun L et al (2007) A rare case of pregnancy complicated by mesenteric mass: what does chylous ascites tell us? World J Gastroenterol 13:1632–1635

    PubMed  Google Scholar 

  15. Leithner A et al (2004) Margins in extra-abdominal desmoid tumors: a comparative analysis. J Surg Oncol 86:152–156. doi:10.1002/jso.20057

    Article  PubMed  Google Scholar 

  16. Sturt NJ, Clark SK (2006) Current ideas in desmoid tumours. Fam Cancer 5:275–285. doi:10.1007/s10689-005-5675-1 discussion 287–8

    Article  PubMed  Google Scholar 

  17. McArthur G (2007) Dermatofibrosarcoma protuberans: recent clinical progress. Ann Surg Oncol 14:2876–2886

    Article  PubMed  Google Scholar 

  18. Corless CL, Heinrich MC (2008) Molecular Pathobiology of Gastrointestinal Stromal Sarcomas. Annu Rev Pathol 3:557–586

    Article  PubMed  CAS  Google Scholar 

  19. Heinrich MC et al (2006) Clinical and molecular studies of the effect of imatinib on advanced aggressive fibromatosis (desmoid tumor). J Clin Oncol 24:1195–1203. doi:10.1200/JCO.2005.04.0717

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to William Robinson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Carneiro, C., Hurtubis, C., Singh, M. et al. Desmoid tumors of the right rectus abdominus muscle in postpartum women. Arch Gynecol Obstet 279, 869–873 (2009). https://doi.org/10.1007/s00404-008-0830-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-008-0830-1

Keywords

Navigation