Desmoid type fibromatosis: A case report with an unusual etiology
| Autor: | Gerardo G Vergara, Obada Obaisi, Harathi Yandrapu, Joe Cates, Jaswinder Singh, Syed Faisal Jafri, Jennifer Feeback |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Endoscopic ultrasound
medicine.medical_specialty medicine.medical_treatment Aggressive fibromatosis Case Report 03 medical and health sciences 0302 clinical medicine medicine Desmoid type fibromatosis Desmoid tumor Pancreas Pancreatic duct Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test Common bile duct business.industry Gastroenterology Painless jaundice medicine.disease medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis Abdomen 030211 gastroenterology & hepatology Cholecystectomy Radiology business |
| Zdroj: | World Journal of Gastrointestinal Oncology |
| ISSN: | 1948-5204 |
| Popis: | Desmoid type fibromatosis (DTF) is a rare, locally invasive, non-metastasizing soft tissue tumor. We report an interesting case of DTF involving the pancreatic head of a 54-year-old woman. She presented with intermittent dysphagia and significant weight loss within a 3-mo period. Laboratory findings showed mild elevation of transaminases, significant elevation of alkaline phosphatase and direct hyperbilirubinemia, indicating obstructive jaundice. Computerized tomography of the abdomen revealed a mass in the head of the pancreas, dilated common bile duct, and dilated pancreatic duct. Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound showed a large hypoechoic mass in the head of the pancreas causing extrahepatic biliary obstruction and pancreatic ductal dilation. The patient underwent a successful partial pancreatico-duodenectomy and cholecystectomy. She received no additional therapy after surgery, and liver function tests were normalized within nine days after surgery. Currently, surgical resection is the recommended first line treatment. The patient will be followed for any recurrence. |
| Databáze: | OpenAIRE |
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