A Rare Case of Caecal Desmoid Tumor

Anas Elwassi; Khalid Jamaleddine; Ayoub Amor; Kenza Benjelloune; Amal Hajri; Driss Erguibi; Rachid Boufettal; Saad Jai Rifki; Farid Chehab

doi:10.19044/esj.2025.v21n6p17

Anas Elwassi Department of Digestive Cancer Surgery and Liver Transplantation, IBN ROCHD University Hospital of Casablanca, Casablanca, Morocco
Khalid Jamaleddine Department of Digestive Cancer Surgery and Liver Transplantation, IBN ROCHD University Hospital of Casablanca, Casablanca, Morocco
Ayoub Amor Department of Digestive Cancer Surgery and Liver Transplantation, IBN ROCHD University Hospital of Casablanca, Casablanca, Morocco
Kenza Benjelloune Department of Digestive Cancer Surgery and Liver Transplantation, IBN ROCHD University Hospital of Casablanca, Casablanca, Morocco
Amal Hajri Department of Digestive Cancer Surgery and Liver Transplantation, IBN ROCHD University Hospital of Casablanca, Casablanca, Morocco
Driss Erguibi Department of Digestive Cancer Surgery and Liver Transplantation, IBN ROCHD University Hospital of Casablanca, Casablanca, Morocco
Rachid Boufettal Department of Digestive Cancer Surgery and Liver Transplantation, IBN ROCHD University Hospital of Casablanca, Casablanca, Morocco
Saad Jai Rifki Department of Digestive Cancer Surgery and Liver Transplantation, IBN ROCHD University Hospital of Casablanca, Casablanca, Morocco
Farid Chehab Department of Digestive Cancer Surgery and Liver Transplantation, IBN ROCHD University Hospital of Casablanca, Casablanca, Morocco

DOI: https://doi.org/10.19044/esj.2025.v21n6p17

Keywords: Desmoid Tumor, Caecal Desmoid Tumor, Caecal Tumor, Right Hemicolectomy, Colorectal Surgery

Abstract

Desmoid tumors (DTs) are rare, benign fibroblastic neoplasms with local aggressiveness but no metastatic potential. We report a 16-year-old woman with chronic right lower quadrant pain and an abdominopelvic mass, initially suspected to be a gastrointestinal stromal tumor. Surgical excision confirmed a caecal desmoid tumor. DTs can mimic malignancies, requiring MRI, histopathology, and immunohistochemistry for diagnosis. Treatment varies, with surgery for symptomatic cases and emerging systemic therapies as alternatives. This article aims to raise awareness of these rare tumors in unexpected locations. It highlights the importance of considering DTs in the differential diagnosis of abdominal masses, particularly in young patients, and emphasizes the need for genetic counseling and multidisciplinary management.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

PlumX Statistics

References

1. Abuji, K., Naik, A., Jain, T., & Dahiya, D. (2021). Caecal desmoid tumour: A rare tumour at an uncommon location and review of literature. BMJ Case Reports, 14(6), e239449. https://doi.org/10.1136/bcr-2020-239449
2. Bektas, M., Bell, T., Khan, S., Tumminello, B., Fernandez, M. M., Heyes, C., & Oton, A. B. (2023). Desmoid Tumors: A Comprehensive Review. Advances in Therapy, 40(9), 3697‑3722. https://doi.org/10.1007/s12325-023-02592-0
3. Ben Haj Amor, M., Ploton, L., Ceugnart, L., & Taïeb, S. (2020). Imagerie par résonance magnétique des tumeurs desmoïdes: Critères d’évaluations actuels. Bulletin du Cancer, 107(3), 359‑363. https://doi.org/10.1016/j.bulcan.2019.11.009
4. Drabbe, C., van der Graaf, W. T. A., Husson, O., Bonenkamp, J. J., Verhoef, C., & van Houdt, W. J. (2023). Pregnancy-associated desmoid fibromatosis: A Dutch multi-centre retrospective study. European Journal of Surgical Oncology, 49(5), 921‑927. https://doi.org/10.1016/j.ejso.2022.11.009
5. Masson, E. (n.d.). Les tumeurs desmoïdes. EM-Consulte. Consulted September 8, 2024, from https://www.em-consulte.com/article/140246/les-tumeurs-desmoides
6. Master, S. R., Mangla, A., & Shah, C. (2024). Desmoid Tumor. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK459231/
7. Pathology Outlines - Fibromatosis-desmoid. (n.d.). Consulted September 8, 2024, from https://www.pathologyoutlines.com/topic/softtissuefibromatosisdeep.html
8. Cassidy, M. R., Lefkowitz, R. A., Long, N., Qin, L.-X., Kirane, A., Sbaity, E., Hameed, M., Coit, D. G., Brennan, M. F., Singer, S., & Crago, A. M. (2020). Association of MRI T2 Signal Intensity With Desmoid Tumor Progression During Active Observation : A Retrospective Cohort Study. Annals of Surgery, 271(4), 748‑755. https://doi.org/10.1097/SLA.0000000000003073
9. Desmoid Tumor Working Group. (2020). The management of desmoid tumours : A joint global consensus-based guideline approach for adult and paediatric patients. European Journal of Cancer (Oxford, England: 1990), 127, 96‑107. https://doi.org/10.1016/j.ejca.2019.11.013
10. Fiore, M., MacNeill, A., Gronchi, A., & Colombo, C. (2016). Desmoid-Type Fibromatosis : Evolving Treatment Standards. Surgical Oncology Clinics of North America, 25(4), 803‑826. https://doi.org/10.1016/j.soc.2016.05.010
11. Ganeshan, D., Amini, B., Nikolaidis, P., Assing, M., & Vikram, R. (2019). Current Update on Desmoid Fibromatosis. Journal of Computer Assisted Tomography, 43(1), 29‑38. https://doi.org/10.1097/RCT.0000000000000790
12. Master, S. R., Mangla, A., & Shah, C. (2024). Desmoid Tumor. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK459231/
13. Nieuwenhuis, M. H., Casparie, M., Mathus-Vliegen, L. M. H., Dekkers, O. M., Hogendoorn, P. C. W., & Vasen, H. F. A. (2011). A nation-wide study comparing sporadic and familial adenomatous polyposis-related desmoid-type fibromatoses. International Journal of Cancer, 129(1), 256‑261. https://doi.org/10.1002/ijc.25664
14. Timbergen, M. J. M., van de Poll-Franse, L. V., Grünhagen, D. J., van der Graaf, W. T., Sleijfer, S., Verhoef, C., & Husson, O. (2018). Identification and assessment of health-related quality of life issues in patients with sporadic desmoid-type fibromatosis : A literature review and focus group study. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 27(12), 3097‑3111. https://doi.org/10.1007/s11136-018-1931-3