title: Not every recurrent pelvic mass in a female is a leiomyoma.
abstract: Desmoid tumors are rare neoplasms. They occur mostly in females in their reproductive age and may present with pelvic pain and intestinal obstruction. These connective tissue neoplasms are because of uncontrolled proliferation of differentiated myofibroblasts. The cells may synthesize vast amounts of collagen fibers in response to various stimuli. We describe a case of a pelvic desmoid tumor simulating a uterine leiomyoma recurrence. We review the literature on the epidemiology and the treatment options for desmoid tumors and suggest a strong index of suspicion when a new pelvic mass arises in an adult with previous pelvic surgery. We advise a planned multidisciplinary treatment approach at the first hint of the diagnosis of desmoid tumor.
authors.affiliation: Departments of Medicine, Interfaith Medical Center, Brooklyn, NY 11213, USA. albertndzengue@yahoo.com
authors.forename: Albert
authors.initials: A
authors.lastname: Ndzengue
authors.forename: Maximo
authors.initials: M
authors.lastname: Mora
authors.forename: Shamah
authors.initials: S
authors.lastname: Iqbal
authors.forename: Rodny
authors.initials: R
authors.lastname: Becher
authors.forename: Samrang
authors.initials: S
authors.lastname: Kchao
authors.forename: Zoe
authors.initials: Z
authors.lastname: Rosal
authors.forename: Gerald L
authors.initials: GL
authors.lastname: Posner
authors.forename: Eric A
authors.initials: EA
authors.lastname: Jaffe
authors.forename: Mark
authors.initials: M
authors.lastname: Adler
authors.forename: Jacques
authors.initials: J
authors.lastname: Guillaume
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D018222:Desmoid Tumors / Q000175:diagnosis*; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis; D014594:Uterine Neoplasms / Q000175:diagnosis*