Desmoid tumor arising in a cesarean section scar during pregnancy: monitoring and management.
Desmoid tumors (DTs) are frequently associated with either surgical trauma, like scars, or physiologic trauma, like pregnancy. A DT arising in a cesarean scar during pregnancy shows both correlations. A case of DT that grew gradually in a cesarean scar during the first trimester of a subsequent pregnancy is presented. After initial MR imaging, the lesion was biopsied and carefully monitored; immediate surgical removal was considered at any time if indicated by the follow-up results. No increase in the tumor size was observed during the following 6 months of gestation, and the lesion was extirpated with mesh replacement of the abdominal defect at the time of cesarean section.
De Cian
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Department of Surgery, Léon Bérard Cancer Center, 28, Rue Laënnec, Lyon Cedex 08, 69373, France.
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Rudigoz
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Ranchère
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Rivoire
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D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix / Q000150:complications*; D005260:Female; D018222:Desmoid Tumors / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*