A Mesenteric Desmoid Tumor with Rapid Progression

Kazunao Hayashi; Masaaki Takamura; Hisashi Yokoyama; Yuichi Sato; Satoshi Yamagiwa; Hitoshi Nogami; Toshifumi Wakai; Go Hasegawa; Shuji Terai

doi:10.2169/internalmedicine.56.7320

CASE REPORTS

A Mesenteric Desmoid Tumor with Rapid Progression

Kazunao Hayashi, Masaaki Takamura, Hisashi Yokoyama, Yuichi Sato, Satoshi Yamagiwa, Hitoshi Nogami, Toshifumi Wakai, Go Hasegawa, Shuji Terai

Author information

Kazunao Hayashi
Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Japan
Masaaki Takamura
Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Japan
Hisashi Yokoyama
Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Japan
Yuichi Sato
Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Japan
Satoshi Yamagiwa
Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Japan
Hitoshi Nogami
Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Japan
Toshifumi Wakai
Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Japan
Go Hasegawa
Department of Pathology, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Japan
Shuji Terai
Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Japan

Keywords: desmoid tumor, mesentery, etodolac

JOURNAL OPEN ACCESS

2017 Volume 56 Issue 5 Pages 505-508

DOI https://doi.org/10.2169/internalmedicine.56.7320

Details

Abstract

We herein report the case of a rapidly progressive sporadic mesenteric desmoid tumor (DT). A 62-year-old woman presented with a 4-cm-diameter palpable mass in the left supraumbilical area. The mass showed an ill-defined margin with heterogeneous delayed enhancement on computed tomography and heterogeneous high intensity on T2-weighted magnetic resonance imaging. Sixteen months after the initial observation, the mass had grown in size, reaching 13 cm in diameter. The resected mass was histologically confirmed as a DT of the mesentery. Since DT often has an unpredictable clinical course, clinicians should bear in mind the need for imaging follow-up.

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