Desmoid-type fibromatosis of the anterior chest wall; the first rare case in Malaysia

Che Ani Mohd Firdaus, M. Guhan, M. N. Ahmad Muhsin, M. A. Nur Ayub, Hairulfaizi Haron, I. Muhammad Ishamuddin, Mohd Ramzisham Abdul Rahman

Research output: Contribution to journalArticle

Abstract

Background. Fibromatosis is a benign tumour arising from a consistent proliferation of a well differentiated fibroblast. Desmoid-type fibromatosis is a rare benign soft tissue tumour but locally invasive via mass effect compressing on vital structures of the body. The lesion has an unpredictable clinical course. The rarity provides a treatment dilemma on the suitability and appropriate timing for surgical resection versus conservative close monitoring. We aim to report the first reported aggressive desmoid-type fibromatosis in Malaysia. Case Report. A-72-years-old woman presented with a huge and tender swelling over her anterior chest wall. She denies any malignancy constitutional symptoms. Computer Tomography (CT) scan showed a well-defined heterogeneous enhancing mass overlying the seventh rib, indenting the pleural cavity, with no deeper structure involvements. En-bloc resection done and the cavity was reconstructed using physio-mesh, anchored creating an air-tight seal and reinforced using artificial tissue reinforcement. Histopathology report confirmed desmoid-type fibromatosis with clear resection margin. Conclusion. Desmoid-type fibromatosis is a rare condition with only little experience available through literature. Some evidence suggests close monitoring was adequate for slow growing lesion while others recommend surgical resection for rapid growing lesion whereby increasing the chances of vital structure compression. However, the question of what is the exact determinant for slow versus rapid growing lesion is still unknown.

Original languageEnglish
Pages (from-to)102-103
Number of pages2
JournalSurgical Chronicles
Volume21
Issue number2
Publication statusPublished - 1 Apr 2016

Fingerprint

Aggressive Fibromatosis
Fibroma
Malaysia
Thoracic Wall
Pleural Cavity
Neoplasms
Ribs
Fibroblasts
Air
Tomography

Keywords

  • Aggressive
  • Desmoid-Type Fibromatosis
  • Rare

ASJC Scopus subject areas

  • Surgery

Cite this

Mohd Firdaus, C. A., Guhan, M., Ahmad Muhsin, M. N., Nur Ayub, M. A., Haron, H., Muhammad Ishamuddin, I., & Abdul Rahman, M. R. (2016). Desmoid-type fibromatosis of the anterior chest wall; the first rare case in Malaysia. Surgical Chronicles, 21(2), 102-103.

Desmoid-type fibromatosis of the anterior chest wall; the first rare case in Malaysia. / Mohd Firdaus, Che Ani; Guhan, M.; Ahmad Muhsin, M. N.; Nur Ayub, M. A.; Haron, Hairulfaizi; Muhammad Ishamuddin, I.; Abdul Rahman, Mohd Ramzisham.

In: Surgical Chronicles, Vol. 21, No. 2, 01.04.2016, p. 102-103.

Research output: Contribution to journalArticle

Mohd Firdaus, CA, Guhan, M, Ahmad Muhsin, MN, Nur Ayub, MA, Haron, H, Muhammad Ishamuddin, I & Abdul Rahman, MR 2016, 'Desmoid-type fibromatosis of the anterior chest wall; the first rare case in Malaysia', Surgical Chronicles, vol. 21, no. 2, pp. 102-103.
Mohd Firdaus CA, Guhan M, Ahmad Muhsin MN, Nur Ayub MA, Haron H, Muhammad Ishamuddin I et al. Desmoid-type fibromatosis of the anterior chest wall; the first rare case in Malaysia. Surgical Chronicles. 2016 Apr 1;21(2):102-103.
Mohd Firdaus, Che Ani ; Guhan, M. ; Ahmad Muhsin, M. N. ; Nur Ayub, M. A. ; Haron, Hairulfaizi ; Muhammad Ishamuddin, I. ; Abdul Rahman, Mohd Ramzisham. / Desmoid-type fibromatosis of the anterior chest wall; the first rare case in Malaysia. In: Surgical Chronicles. 2016 ; Vol. 21, No. 2. pp. 102-103.
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