A multimodality approach to successful ileal pouch desmoid excision with pouch salvage: report of a case.
Desmoid tumors occur infrequently in patients who undergo proctocolectomy for familial adenomatous polyposis but may result in significant morbidity and mortality depending on the sight of desmoid location. A case of successful ileal pouch salvage using a multimodality approach for treatment of a large ileal pouch associated desmoid tumor is presented. This approach used neoadjuvant chemotherapy to induce a partial response, followed by complete surgical excision with pouch preservation. This is the first reported case of combined chemotherapy and surgical treatment of a desmoid tumor involving an ileal pouch, and the second reported successful attempt at surgical excision with pouch salvage.
Resop
Dana M
DM
Department of Surgery, University of Wisconsin Hospital and Clinics, 600 Highland Avenue, Madison, Wisconsin 53792, USA.
Harms
Bruce A
BA
Heise
Charles P
CP
D000328:Adult; D039021:Colonic Pouches / Q000473:pathology*; D003937:Diagnosis, Differential; D019160:Endosonography; D018222:Desmoid Tumors / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007078:Ileal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D016737:Proctocolectomy, Restorative / Q000379:methods*; D012812:Sigmoidoscopy; D014057:Tomography, X-Ray Computed