NHÂN MỘT TRƯỜNG HỢP U CƠ SỢI ĐƠN DÒNG KHỔNG LỒ  Ở BỆNH NHÂN ĐA POLIP TUYẾN ĐẠI TRỰC TRÀNG ĐƯỢC  CHẨN ĐOÁN VÀ ĐIỀU TRỊ TẠI BỆNH VIỆN QUÂN Y 175

Văn Mạnh Nguyễn; Quang Thịnh Phan; Quốc Khánh Bùi

doi:10.59354/ydth175.2022.32

Keywords:

Colorectal Adenomatous Polyposis, Desmoid tumor, Fibromatosis Aggressive, Adenomatous Polyposis Coli gene mutation

Abstract

Monoclonal myofibroblastic neoplasms (also called Desmoid tumors) are rare benign tumors (2-4 people / 1 million people / year) but can occur from 10% to 25% in Familial Adenomatous Polyposis (FAP). Desmoid tumors can originates from any fas[1]cial or muscle-aponeurotic structures of the body but only 2% in the abdomen and 80% of them are in FAP patients. Although Desmoid tumors are not metastatic but they often aggressively invade adjacent structures and have a high local recurrence rate after exci[1]sion. The treatment strategy requires a combination of methods (surgery, chemotherapy, radiation therapy) and is closely followed.

We report a case of a 35-year-old man with a large abdominal tumor and colorectal adenomatous polyposis. The patient had surgery to remove the tumor, the total colorectal and the corresponding ileum. After surgery, the patient recovered well without any significant complications and continued to be monitored.

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