Annals of Surgical Treatment and Research  2014;87(6):331-335

doi:10.4174/astr.2014.87.6.331

Intra-abdominal fibromatosis after gastrectomy for gastric cancer.

Pyeong Su KIM 1 ; Dong Seok HAN ; Hye Seung HAN ; Ho Yoon BANG

Affiliations

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Keywords

Fibromatosis; Desmoid; Gastrectomy; Stomach neoplasms

Country

Republic of Korea

Language

English

Abstract

Intra-abdominal fibromatosis (IAF) may arise either sporadically or in association with familial adenomatous polyposis. The characteristics of fibromatosis are slow-growth, benign histological features, and aggressive local invasion. Surgery remains a reasonable first treatment option. Here, we report 2 cases of a phenomenon rarely described in published literature, IAF after gastrectomy for gastric cancer. Intra-abdominal masses were found during the routine follow-up period in a 50-year-old man who had received a radical subtotal gastrectomy for early gastric cancer. Two mesenteric masses were detected in the upper abdomen by CT and were excised completely along with segments of the jejunum. Another intra-abdominal mass was found in 60-year-old man who had received a radical total gastrectomy for advanced gastric cancer. A 4.2-cm-sized mass was detected in the periumbilical region by follow-up CT and was excised completely along with a segment of the ileum.