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Desmoid Tumor - abdominal wall - cut surface
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Desmoid Tumor - abdominal wall - cut surface

This is the cut surface of a desmoid tumor. The subcutaneous fat is indicated by the white arrows.
The tumor, which is of fibroblast origin, is indicated by the yellow arrows.
Note the typical tan color and the smooth surface.
(Description By:T.V. Rajan M.D. )
(Image Contrib. by:Melinda Sanders, M.D. UCHC )
Desmoid
Etiology

Unknown.
Pathogenesis

The lesion represents an intermediate between a reparative lesion and a true malignancy.,
Epidemiology

The intra-abdominal variety is associated with pregnancy.
The extra-abdominal variety is seen equally in men and women.
The tumor is common in patients with Gardner's syndrome, a disease associated with a diverse array of neoplastic lesions, including colonic polyps, osteomas and epidermal inclusion cysts.
General Gross Description

Also known as aggressive fibromatosis.
Lesions characterized by tan-white, poorly demarcated masses.
They are rubbery, firm and blend into the surrounding tissue.
General Microscopic Description

Histologically characterized by active fibroblasts within a dense collagenous matrix.
Mitotic activity is not frequent.
Fragments of skeletal muscle cells can be seen embedded within the tumor.
Clinical Correlation

Desmoids are treated by surgical excision.
Although locally invasive, they rarely metastasize.
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th edition. Philadelphia, W.B. Saunders, 1994, pp. 90, 1265.
Desmoid
Synopsis by: T.V. Rajan M.D. Ph.D. (T1X000M88211)[84]
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