Korean J Med.  1998 Apr;54(4):577-581.

A Case of Mesenteric Fibromatosis after Appendectomy

• Nam KH
• Kweon BC
• Lee HK
• Lee DW
• Woo CK
• Park JS
• Kweon SJ
• Hwang JH
• Lee CK

Abstract

Mesenteric fibromatosis is a rare nonmetastasizing fi brous tumor, characterized by fibroblastic proliferation without evidence of inflammatory response or definite neoplasia. It appears at any age, but mainly in the second to fifth decades as incidence of two to four desmoid tu mor cases per 1 million people per annum. It is pseudoen capsulated and locally invasive and has a tendency to recur, but metastases are rare. It is more frequent with Gardner's syndrome(adenomatosis coli) in which 50% of them will appear as mesenteric fibromatosis. Trauma, especially that of previous surgery, has been associated with the subsequent development of desmoid tumor. The treatment of choice is a wide margin resection of the tumor. we experienced a case of mesenteric fibromatosis without Gardner's syndrome 2 years after appendectomy in a 31-year old man and recurred at 21 months after resection and report with a review of literatures. 6

Keyword

Mesenteric fibromatosis; Appendectomy

MeSH Terms

Adult
Appendectomy*
Fibroblasts
Fibroma*
Fibromatosis, Aggressive
Gardner Syndrome
Humans
Incidence
Neoplasm Metastasis