Abdominal Wall Tumors: A Retrospective and Prospective Study.

Mohammed, Alaa El Din Hassan; Mohamed, Asem Elsani; Mohamed, Mohamed; Ali, Mohammed

doi:10.21608/smj.2017.40797

Abdominal Wall Tumors: A Retrospective and Prospective Study.

Document Type : Original Article

Authors

¹ Department of General Surgery, Faculty of Medicine, Sohag University

² Department of general surgery, Sohag university hospitals, Egypt.

10.21608/smj.2017.40797

Abstract

Background: Abdominal wall masses are not uncommon diseases that manifest with solitary or multiple lesions and can be associated with intraperitoneal diseases, Tumors of the abdominal wall may be benign locally malignant or malignant. This review aims to study the incidence and pattern of abdominal wall tumors in Sohag governorate and to address the different types of these tumors, approach to diagnosis, differential diagnosis, and available treatment options.
Methods: This study was a prospective study which was conducted at the main health institutions in Sohag governorate in the period from January 2000 to April 2017, The study included patients presented with abdominal wall tumors during the period of the study, analysis of the clinical presentation, different methods of diagnosis and treatment varieties.
Results: The study included 25 patients presented with abdominal wall tumor, data were recorded, tabulated and statistically analyzed emphasizing on Preoperative data including presentation and diagnosis, Operative data, intra and post-operative complications, different methods for closure of the defect and early postoperative follow up. 8 cases (32.63%) were benign, 1 case (3.90%) was locally malignant and 16 cases (64.67%) were malignant.
Conclusion: Most of abdominal wall tumors had an idiopathic etiology. CT was the corner stone in diagnosis of abdominal wall tumors and surgical intervention as an option for management of abdominal wall tumors proved its effectiveness and great rule.

References

Arslan OE. Anatomy of the abdominal wall, In Shiffman MA, Mirrafati S (Eds.). Aesthetic surgery of the abdominal wall, 2005, Springer, Berlin, Heidelberg, Germany.
Marley MH. Radiation therapy for aggressive fibromatosis (desmoid tumors): results of a national Patterns of Care Study. Int J Radiat Oncol Biol Phys 2005; 61: 882–91.
Lee JC, Thomas JM, Phillips S. Aggressive fibromatosis: MRI features with pathologic correlation. Am J Roentgenol 2006; 186: 247–54.
Wong SL. Diagnosis and management of desmoid tumors and fibrosarcoma. J Surg Onc 2008; 97: 554–8.
Ademuyiwa AO, Bode CO, Elebute OA. Anterior abdominal wall desmoid tumor in a five year old girl – a pre operative diagnostic challenge in resource-poor setting. Ann Ped Surg 2010; 6: 41-3.
Saxe JM, Ledgerwood AM, Lucas CE. Management of the difficult abdominal closure. Surg Clin NorthAm 2003; 73 (2): 243-51.
Erkan N, Haciyanli M, Sayhan H. Abdominal wall endometriomas. Int J Gyne Obstet 2005; 89: 59-60.
Storm HH. Survival of adult patients with cancer of soft tissues or bone in Europe. Eur J Cancer 2008; 34(14): 2212–7.
Biluts H, Yoo M. Abdominal wall tumours in Tikur Anbessa Hospital in Addis Ababa, Ethiopia .Association of surgeons of East Africa and College of Surgeons of East Central and Southern Africa, 2007, surgery @telecom.net.et.
Dumanian GA. Abdominal wall tumors and their reconstruction. In Butler CE and Fine NA (eds.). Principles of cancer reconstructive surgery, 2008, Springer-Verlag Berlin Heidelberg, Germany.