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Korean J Pancreas Biliary Tract > Volume 18(1):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(1):36-40.
췌장의 악성 병변과 감별이 필요하였던 복강내 섬유종증 1예
김선영, 이홍식, 서민호, 김예지, 현종진, 전훈재, 엄순호, 김창덕
고려대학교 의과대학 내과학교실
A Case of Intra-abdominal Fibromatosis that Need to be Differentiated from Pancreatic Malignancy
Sun Young Kim, Hong Sik Lee, Min Ho Seo, Ye Ji Kim, Jong Jin Hyun, Hoon Jai Chun, Soon Ho Um, Chang Duck Kim
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea
ABSTRACT
Intra-abdominal fibromatosis is a rare monoclonal, fibroblastic proliferative tumor arising in abdominal musculoaponeurotic structure. The majority of fibromatosis are associated with familial adenomatous polyposis of colon and Gardner’s syndrome. However, sporadic forms are very rare manifestation. We report a case of a 40-year-old male who was diagnosed as an intra -abdominal fibromatosis incidentally. We performed biliary pancreas CT, pancreas MRI, EUS-guided FNA for incidentally detected intra-abdominal tumor that was attached to the pancreas. The size of tumor was increased and cytology showed atypical cells, the possibility of pancreatic malignancy was considered. So we decided the operation to remove this lesion and confirm pathologic diagnosis. Central pancreatectomy and pancreato- jejunostomy was performed and pathologic diagnosis was intra-abdominal fibromatosis. Treatment of choice for fibromatosis is surgical resection, however, free resection margin is difficult to get enough. Therefore, close monitoring is important because of high recurrence rate due to remnant tumor cells.
Keywords: Fibromatosis, Desmoid tumor
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