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CC BY-NC-ND 4.0 · Asian Journal of Oncology 2022; 08(03): 168-171
DOI: 10.1055/s-0042-1750791
Case Report

Challenging Management of Large Aggressive Fibromatosis of the Anterior Abdominal Wall: A Case Report

Rhita Salah
1   Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V, Rabat, Morocco
,
Kamal El Mokhtari
1   Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V, Rabat, Morocco
,
Azzelarab Bennis
1   Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V, Rabat, Morocco
,
Omar Zaddoug 
1   Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V, Rabat, Morocco
,
Mohamed Benchakroun
1   Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V, Rabat, Morocco
,
Ali Zine
1   Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V, Rabat, Morocco
,
Mansour Tanane
1   Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V, Rabat, Morocco
,
Salim Bouabid
1   Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V, Rabat, Morocco
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Abstract

Aggressive fibromatosis is a rare and benign tumor of soft tissues, locally invasive but never metastasizes. This proliferation arises in musculoaponeurotic structures. It is more common in young fertile women due to hormonal influences. Radical resection with free margins is the key to an effective outcome. We present here the case of a 47-year-old woman, without medical history, who was referred to our hospital for a painful swelling of the left iliac fossa, diagnosed with aggressive fibromatosis of the anterior abdominal wall based on radiological and histological findings. She underwent an excision of the mass with free margins followed by reconstruction of the musculo-fascial defect. After a follow-up of 12 months, there was no evidence of recurrence. Management of aggressive fibromatosis remains a challenge for surgeons. Complete excision of the tumor followed by reconstruction of abdominal wall defect is the first choice of treatment.

Keywords

abdominal wall - aggressive fibromatosis - radical excision

Competing Interests

Authors have declared that no competing interests exist.




Publication History

Article published online:
01 July 2022

© 2022. Spring Hope Cancer Foundation & Young Oncologist Group of Asia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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