CASE REPORTS   

Chirurgia 2013 December;26(6):441-2

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: Italian

Desmoid tumor arising in a laparoscopic trocar site. Case report and literature review

Corsale I., Francioli N., Aloise F., Mori P. A., Rigutini M., Buccianelli E.

ASL 3 Regione Toscana Ospedale SS. Cosma e Damiano di Pescia U.O. Chirurgia Generale, Pistoia, Italia

Desmoid tumors are rare benign neoplasms with high tendency to local relapse. The development is more frequent in patients with familiar adenomatous polyposis and in the site of major laparotomic incision. We report the case of a young woman in whom the tumor has arisen on the small umbilical incision for laparoscopy with trocar access, in the absence of polypoid lesions of the colon. The woman underwent a surgical procedure and a follow-up with colonoscopy, thyroid and abdominal US. Surgical excision of the lesion and close follow-up for at least two years are necessary in order to minimize the risk of local recurrence. Development of desmoid tumor at a trocar site is a rare event, but it will probably become more frequent in the coming years, due to an increasingly widespread use of minimally invasive approach. A precise classification of these patients is necessary, especially to search for adenomatous polyposis of the colon, together with a careful follow-up to avoid local recurrence.