Recurrent desmoid-type retroperitoneal fibromatosis: clinical observation

This article deals with the rare clinical observation of the patient with recurrent desmoid-type fibromatosis, who have achieved long-term stability after surgical treatment. A 24-year-old patient was diagnosed with retroperitoneal tumor which size was 8.85.613 cm in 2013, infiltrating the left psoa...

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Autores principales: Marina D. Budurova, Igor A. Fainshtein, Kirill A. Turupaev, Aleksei E. Kalinin, Nikolai A. Kozlov
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Publicado: IP Habib O.N. 2021
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spelling oai:doaj.org-article:8cb95dbd4dcd4f8abc1f59281efc97262021-11-30T17:03:34ZRecurrent desmoid-type retroperitoneal fibromatosis: clinical observation1815-14341815-144210.26442/18151434.2020.4.200424https://doaj.org/article/8cb95dbd4dcd4f8abc1f59281efc97262021-02-01T00:00:00Zhttps://modernonco.orscience.ru/1815-1434/article/viewFile/61191/44277https://doaj.org/toc/1815-1434https://doaj.org/toc/1815-1442This article deals with the rare clinical observation of the patient with recurrent desmoid-type fibromatosis, who have achieved long-term stability after surgical treatment. A 24-year-old patient was diagnosed with retroperitoneal tumor which size was 8.85.613 cm in 2013, infiltrating the left psoas muscle, left kidney, left common and left external iliac arteries, descending colon and sigmoid colon. The patient underwent surgery in the volume of the tumor removal, resection of the left common iliac artery and prosthetics using GORE-TEX prosthesis, left hemicolectomy, left nephrectomy at Blokhin National Medical Research Center of Oncology. The first recurrence of the tumor was detected nine months after the surgery. Due to the subsequent growth of tumor mass, located along the left external iliac artery and in the inguinal canal, the repeated surgery was performed. Then the patient had a second relapse, and underwent surgery again. The third recurrence was detected seven months after the last surgery. During the multidisciplinary discussion, according to the absence of complaints and the small size of the recurrent tumor, as well as the absence of the risk of life-threatening complications, it was decided to stop on the observation. The patient was examined once every six months there were no data concerning recurrent tumor growth. Today, the patient is alive, does not have any complaints and is able-bodied. Our clinical observation demonstrates that active surgical tactics in case of the retroperitoneal fibromatosis recurrence not always can lead to long-term progression-free survival time and several patients can stay under the observation, using Look and Stay tactic.Marina D. BudurovaIgor A. FainshteinKirill A. TurupaevAleksei E. KalininNikolai A. KozlovIP Habib O.N.articledesmoid-type fibromatosisdesmoid tumorrecurrent desmoid tumorretroperitoneal fibromatosismesenteric fibromatosisNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282RUСовременная онкология, Vol 22, Iss 4, Pp 125-129 (2021)
institution DOAJ
collection DOAJ
language RU
topic desmoid-type fibromatosis
desmoid tumor
recurrent desmoid tumor
retroperitoneal fibromatosis
mesenteric fibromatosis
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle desmoid-type fibromatosis
desmoid tumor
recurrent desmoid tumor
retroperitoneal fibromatosis
mesenteric fibromatosis
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Marina D. Budurova
Igor A. Fainshtein
Kirill A. Turupaev
Aleksei E. Kalinin
Nikolai A. Kozlov
Recurrent desmoid-type retroperitoneal fibromatosis: clinical observation
description This article deals with the rare clinical observation of the patient with recurrent desmoid-type fibromatosis, who have achieved long-term stability after surgical treatment. A 24-year-old patient was diagnosed with retroperitoneal tumor which size was 8.85.613 cm in 2013, infiltrating the left psoas muscle, left kidney, left common and left external iliac arteries, descending colon and sigmoid colon. The patient underwent surgery in the volume of the tumor removal, resection of the left common iliac artery and prosthetics using GORE-TEX prosthesis, left hemicolectomy, left nephrectomy at Blokhin National Medical Research Center of Oncology. The first recurrence of the tumor was detected nine months after the surgery. Due to the subsequent growth of tumor mass, located along the left external iliac artery and in the inguinal canal, the repeated surgery was performed. Then the patient had a second relapse, and underwent surgery again. The third recurrence was detected seven months after the last surgery. During the multidisciplinary discussion, according to the absence of complaints and the small size of the recurrent tumor, as well as the absence of the risk of life-threatening complications, it was decided to stop on the observation. The patient was examined once every six months there were no data concerning recurrent tumor growth. Today, the patient is alive, does not have any complaints and is able-bodied. Our clinical observation demonstrates that active surgical tactics in case of the retroperitoneal fibromatosis recurrence not always can lead to long-term progression-free survival time and several patients can stay under the observation, using Look and Stay tactic.
format article
author Marina D. Budurova
Igor A. Fainshtein
Kirill A. Turupaev
Aleksei E. Kalinin
Nikolai A. Kozlov
author_facet Marina D. Budurova
Igor A. Fainshtein
Kirill A. Turupaev
Aleksei E. Kalinin
Nikolai A. Kozlov
author_sort Marina D. Budurova
title Recurrent desmoid-type retroperitoneal fibromatosis: clinical observation
title_short Recurrent desmoid-type retroperitoneal fibromatosis: clinical observation
title_full Recurrent desmoid-type retroperitoneal fibromatosis: clinical observation
title_fullStr Recurrent desmoid-type retroperitoneal fibromatosis: clinical observation
title_full_unstemmed Recurrent desmoid-type retroperitoneal fibromatosis: clinical observation
title_sort recurrent desmoid-type retroperitoneal fibromatosis: clinical observation
publisher IP Habib O.N.
publishDate 2021
url https://doaj.org/article/8cb95dbd4dcd4f8abc1f59281efc9726
work_keys_str_mv AT marinadbudurova recurrentdesmoidtyperetroperitonealfibromatosisclinicalobservation
AT igorafainshtein recurrentdesmoidtyperetroperitonealfibromatosisclinicalobservation
AT kirillaturupaev recurrentdesmoidtyperetroperitonealfibromatosisclinicalobservation
AT alekseiekalinin recurrentdesmoidtyperetroperitonealfibromatosisclinicalobservation
AT nikolaiakozlov recurrentdesmoidtyperetroperitonealfibromatosisclinicalobservation
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