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Indagine conoscitiva a cura del Prof. Giovanni Li Destri

Le patologie rare sono spesso per il chirurgo fonte di interrogativi e di perplessità a causa di un’esperienza limitata e di assenza di linee guida. Recentemente ci è capitato di imbatterci in due tumori desmoidi della cavità addominale. Tale patologia, meglio nota come “desmoid-type fibromatosis”, è una neoplasia mesenchimale che origina dai fibroblasti e può svilupparsi o in forma sporadica o nell’ambito di una sindrome più complessa come quella di “Gardner”. La nostra recente esperienza di due casi comprende entrambe le forme.

Ritengo che tale patologia possa essere causa di confronto sia per quanto riguarda l’esordio sintomatologico (silente o causa di acuzie), ma soprattutto per quanto riguarda la diagnosi differenziale (GIST, linfomi, metastasi - biopsia pre-operatoria SI/NO), l’approccio terapeutico e la prognosi.

Nell’ambito della SSC invito i Colleghi che si siano imbattuti in tale patologia a mettere insieme l’esperienza maturata allo scopo sia di confrontarci che di poter pubblicare una casistica più ampia rispetto al singolo caso sporadico.

Se volete, potete contattarmi o attraverso l’interazione fornita dallo stesso sito o al mio indirizzo di posta elettronica (g.lidestri@unict.it).

Grazie Giovanni Li Destri
U.O. Chirurgia Digerente e Colo-rettale
Policlinico - G. Rodolico
CATANIA

 

 

Figura 1: tumore desmoide sporadico intra-addominale (A) con infiltrazione del colon sigmoideo (B) e della quart’ultima ansa ileale.

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