|
Title
|
|
|
|
Embolization of a large progressive symptomatic desmoid tumor in the rectus muscle of a female patient with multiple sclerosis: a case report
|
|
|
Author
|
|
|
|
|
|
|
Abstract
|
|
|
|
| Introduction: Desmoid tumors are benign tumors, yet can lead to significant morbidity due to aggressive local expansions. Treatment starts with a wait-and-see policy, however, more aggressive treatments like broad margin resection surgery might be necessary in case of tumor progression. Patients and methods: We report the case of a 26-year-old female with a symptomatic desmoid tumor in the left rectus muscle. The initial wait-and-see policy led to an increase in tumor size and progression of symptoms. Computed tomography (CT) angiography revealed a dominant arterial blood supply via a branch of the inferior epigastric artery. We then performed a super selective embolization of the dominant arterial blood supply, to avoid the need for broad margin resection. Results: At three months follow-up, the patient was asymptomatic and magnetic resonance imaging (MRI) showed no residual tumor. At nine months follow-up, MRI scan reconfirmed the successful outcome. Conclusions: Embolization of a primary supplying vessel of a desmoid tumor is a viable treatment option. However, scientific evidence remains limited and further research is mandatory for inclusion in evidence based treatment algorithms. |
|
|
|
Language
|
|
|
|
English
|
|
|
Source (journal)
|
|
|
|
Acta chirurgica Belgica. - Brussel, 1946 - 1996
|
|
|
Publication
|
|
|
|
Brussel
:
2018
|
|
|
ISSN
|
|
|
|
0001-5458
|
|
|
Volume/pages
|
|
|
|
118
:3
(2018)
, p. 192-195
|
|
|
ISI
|
|
|
|
000435001400008
|
|
|
Pubmed ID
|
|
|
|
28641503
|
|
|
Full text (Publisher's DOI)
|
|
|
|
|
|
|
Full text (publisher's version - intranet only)
|
|
|
|
|
|