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Correspondence and Brief Report
Long-term survival following aggressive surgery and radiotherapy for pelvic fibromatosis
  1. M. SEOUD*,
  2. J. ABBAS†,
  3. H. KASPAR*,‡,
  4. A. KHALIL* and
  5. F. GEARA§
  1. *Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon
  2. †Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon
  3. ‡Department of Pathology, American University of Beirut Medical Center, Beirut, Lebanon
  4. §Department of Radiotherapy, American University of Beirut Medical Center, Beirut, Lebanon
  1. Address correspondence and reprint requests to: Muhieddine Seoud, MD, Departments of Obstetrics and Gynecology, American University of Beirut Medical Center, c/o NY Office, 850 Third Avenue, 18th floor, New York, NY 10022, USA. Email: mike{at}aub.edu.lb

Abstract

Desmoid tumors of the female pelvis are rare. The efficacy of the available treatment modalities in improving survival and decreasing recurrence remains controversial. A 32-year-old woman presented with an asymptomatic large ischeorectal mass. Computed tomography scan revealed a large tumor adherent to the pubic bone and impinging on the bladder neck and the rectum. Aggressive surgical removal of the mass including partial osteotomy of the pubic bone was followed by radiotherapy. The patient is still alive 6 years later with no evidence of disease. Aggressive surgical management followed by radiotherapy is an acceptable means of treatment of locally invasive desmoid tumor of the female pelvis.

  • pelvic desmoid tumor
  • pelvic fibromatosis

https://doi.org/10.1136/ijgc-00009577-200511000-00016

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