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Title
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Embolization of a large progressive symptomatic desmoid tumor in the rectus muscle of a female patient with multiple sclerosis: a case report
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Author
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Abstract
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| 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. |
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Language
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English
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Source (journal)
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Acta chirurgica Belgica. - Brussel, 1946 - 1996
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Publication
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Brussel
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2018
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ISSN
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0001-5458
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DOI
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10.1080/00015458.2017.1341147
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Volume/pages
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118
:3
(2018)
, p. 192-195
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ISI
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000435001400008
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Pubmed ID
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28641503
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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