Desmoid-Type Fibromatosis Tumor Mimic Endometrioma of the Ventral Abdominal Wall after Cesarean Section. A Case Report

Björn M. Beurer, Eva Marie Röck, Maximilian Bures, Dorothea Fischer and Cornelia Radke

Klinik für Genecology und Geburtshilfe, Klinikum Ernst von Bergmann, Germany Institut für Pathology, Klinikum Ernst von Bergmann, Germany

^*Correspondance to: Björn M. Beurer 

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Abstract:

Introduction: Desmoid-type Fibromatoses (DF) are rare benign tumors that do not metastasize but have a high rate of recurrence and local aggressive growth. These tumors often develop at surgical sites and are associated with women of reproductive age. Case Report: A 31-year-old woman presented with a painful palpable swelling of the right lower abdominal wall that occurred one month after cesarean section. Ultrasound and MRI were performed and showed a solid tumor measuring 37x17x29mm. Since the patient reported pain before and during menstruation, she was treated for suspected endometriosis with a progestinemphasized oral combined contraceptive. As hormonal therapy did not reduce the pain, the tumor was removed. Histopathology showed desmoid-type fibromatosis, which extended at least to the margins. Further surgery had therefore to be performed. Conclusion: Painful tumors occurring after cesarean section may be caused by rare tumors such as desmoid fibromatosis. Differential diagnosis is therefore required and can allow different treatment options.

Keywords:

Desmoid-type tumor; Fibromatosis; Surgery; Cesarean section; Interdisciplinary approach; Active surveillance; Endometrioma

Cite the Article:

Beurer BM, Röck EM, Bures M, Fischer D, Radke C. Desmoid- Type Fibromatosis Tumor Mimic Endometrioma of the Ventral Abdominal Wall after Cesarean Section. A Case Report. Ann Clin Case Rep. 2024; 9: 2702..