Gastrointestinal Complications of Intra-Abdominal Desmoid Tumors: A Case Report and Review of the Literature

被引:1
作者
Morris, Darcy [1 ]
Gonzalez, Raquel [2 ]
Cook, Jane [3 ]
Metts, Jonathan [4 ]
Shaw, Peter [4 ]
机构
[1] Johns Hopkins All Childrens Hosp, Off Med Educ, St Petersburg, FL USA
[2] Johns Hopkins All Childrens Hosp, Div Pediat Surg, St Petersburg, FL USA
[3] Johns Hopkins All Childrens Hosp, Div Radiol, St Petersburg, FL USA
[4] Johns Hopkins All Childrens Hosp, Canc & Blood Disorders Inst, St Petersburg, FL 33701 USA
关键词
Desmoid tumor; Tumor perforation; Bowel obstruction; Case report; BETA-CATENIN; FIBROMATOSIS; PERFORATION;
D O I
10.1159/000522441
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A 15-year-old male with a mesenteric desmoid tumor and underlying familial adenomatous polyposis presented 2 weeks after initiating sorafenib with severe abdominal pain and chills and was found to have an acute abdomen. Exploratory laparotomy revealed a necrotic, ruptured tumor with impending small bowel obstruction. The patient was later able to resume sorafenib and experienced sustained a radiographic response. It is possible that sorafenib toxicity contributed to tumor rupture yet later provided clinical benefit. Here we review the gastrointestinal complications that are associated with intra-abdominal desmoid tumors and their therapies.
引用
收藏
页码:515 / 521
页数:7
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