Abdominal wall endometriosis versus desmoid tumor – a challenging differential diagnosis

Alexandru Cărăuleanu, Răzvan Popovici, Răzvan Mihai Popovici, Claudia Florida Costea, Raluca Mogos, Raluca Anamaria Mogoş, Dragoş Viorel Scripcariu, Irina Daniela Florea, Ali Cheaito, Adina Elena Tănase, Raluca Maria Haba, Mihaela Grigore
Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie · 2020 · vol. 61(1) , pp. 45–50 · doi:10.47162/rjme.61.1.05 · PMID:32747894 · W3046947677
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Abdominal wall endometriosis and desmoid tumors present a diagnostic challenge, with imaging aiding localization and histology confirming the final diagnosis.

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Abstract

AIM: Abdominal wall endometriosis (AWE) in young women, with previous gynecological abdominal surgery, is the first condition considered by many practitioners when a tumor in the region of the scar appears. AWE seems to be caused by an iatrogenic transfer of endometrial cells at the level of the scar. The onset of the disease may be late in many cases. Despite the fact that the disease could be totally asymptomatic, there are certain risk factors that can be identified during the anamnesis, such as: heredity, menarche at the age of >14 years, menstrual cycle <27 days, delayed menopause, excessive alcohol and caffeine consumption. Suggestive signs include cyclic or continuous abdominal pain caused by a palpable abdominal wall mass with a maximum tenderness in the region of the surgical scar. The differential diagnosis is complex and rare entities like desmoid tumors (DTs) must be taken into consideration. Desmoid tumor, or the so-called aggressive fibromatosis (AF), is a rare fibroblastic proliferation. This tumor can develop in any muscular aponeurotic structure of the body and is considered benign but with a high recurrence rate. DTs can cause local infiltration, subsequently producing certain levels of deformity and potential obstruction of vital structures and organs. The differential diagnosis is challenging in this situations, the imagery exams are useful, especially in detecting the precise location of the tumor. The histological examination of the tumor can state the final and precise diagnosis.
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Abdominal wall endometriosis versus desmoid tumor - a challenging differential diagnosis Vol. 61 No. 1, 2020 ROMANIAN JOURNAL of MORPHOLOGY and EMBRYOLOGY Alexandru Carauleanu, Razvan Mihai Popovici, Claudia Florida Costea, Raluca Anamaria Mogos, Dragos Viorel Scripcariu, Irina Daniela Florea, Ali Cheaito, Adina Elena Tanase, Raluca Maria Haba, Mihaela Grigore Aim: Abdominal wall endometriosis (AWE) in young women, with previous gynecological abdominal surgery, is the first condition considered by many practitioners when a tumor in the region of the scar appears. AWE seems to be caused by an iatrogenic transfer of endometrial cells at the level of the scar. The onset of the disease may be late in many cases. Despite the fact that the disease could be totally asymptomatic, there are certain risk factors that can be identified during the anamnesis, such as: heredity, menarche at the age of >14 years, menstrual cycle <27 days, delayed menopause, excessive alcohol and caffeine consumption. Suggestive signs include cyclic or continuous abdominal pain caused by a palpable abdominal wall mass with a maximum tenderness in the region of the surgical scar. The differential diagnosis is complex and rare entities like desmoid tumors (DTs) must be taken into consideration. Desmoid tumor, or the so-called aggressive fibromatosis (AF), is a rare fibroblastic proliferation. This tumor can develop in any muscular aponeurotic structure of the body and is considered benign but with a high recurrence rate. DTs can cause local infiltration, subsequently producing certain levels of deformity and potential obstruction of vital structures and organs. The differential diagnosis is challenging in this situations, the imagery exams are useful, especially in detecting the precise location of the tumor. The histological examination of the tumor can state the final and precise diagnosis. Corresponding author: Claudia Florida Costea, Associate Professor, MD, PhD; e-mail: [email protected]; Razvan Mihai Popovici, Assistant, MD, PhD; e-mail: [email protected] DOI: 10.47162/RJME.61.1.05 Download PDF Abdominal wall endometriosis versus desmoid tumor - a challenging differential diagnosis PDFDownload contents Journal archive - vol. 66 no. 3, 2025 - vol. 66 no. 2, 2025 - vol. 66 no. 1, 2025 - vol. 65 no. 4, 2024 - vol. 65 no. 3, 2024 - vol. 65 no. 2, 2024 - vol. 65 no. 1, 2024 - vol. 64 no. 4, 2023 - vol. 64 no. 3, 2023 - vol. 64 no. 2, 2023 - vol. 64 no. 1, 2023 - vol. 63 no. 4, 2022 - vol. 63 no. 3, 2022 - vol. 63 no. 2, 2022 - vol. 63 no. 1, 2022 - vol. 62 no. 4, 2021 - vol. 62 no. 3, 2021 - vol. 62 no. 2, 2021 - vol. 62 no. 1, 2021 - vol. 61 no. 4, 2020 - vol. 61 no. 3, 2020 - vol. 61 no. 2, 2020 - vol. 61 no. 1, 2020 - vol. 60 no. 4, 2019 - vol. 60 no. 3, 2019 - vol. 60 no. 2, 2019 - vol. 60 no. 1, 2019 - vol. 59 no. 4, 2018 - vol. 59 no. 3, 2018 - vol. 59 no. 2, 2018 - vol. 59 no. 1, 2018 - vol. 58 no. 4, 2017 - vol. 58 no. 3, 2017 - vol. 58 no. 2, 2017 - vol. 58 no. 1, 2017 - vol. 57 no. 4, 2016 - vol. 57 no. 3, 2016 - vol. 57 no. 2 Suppl., 2016 - vol. 57 no. 2, 2016 - vol. 57 no. 1, 2016 - vol. 56 no. 4, 2015 - vol. 56 no. 3, 2015 - vol. 56 no. 2 Suppl., 2015 - vol. 56 no. 2, 2015 - vol. 56 no. 1, 2015 - vol. 55 no. 4, 2014 - vol. 55 no. 3 Suppl., 2014 - vol. 55 no. 3, 2014 - vol. 55 no. 2 Suppl., 2014 - vol. 55 no. 2, 2014 - vol. 55 no. 1, 2014 - vol. 54 no. 4, 2013 - vol. 54 no. 3 Suppl., 2013 - vol. 54 no. 3, 2013 - vol. 54 no. 2, 2013 - vol. 54 no. 1, 2013 - vol. 53 no. 4, 2012 - vol. 53 no. 3 Suppl., 2012 - vol. 53 no. 3, 2012 - vol. 53 no. 2, 2012 - vol. 53 no. 1, 2012 - vol. 52 no. 4, 2011 - vol. 52 no. 3 Suppl., 2011 - vol. 52 no. 3, 2011 - vol. 52 no. 2, 2011 - vol. 52 no. 1 Suppl., 2011 - vol. 52 no. 1, 2011 - vol. 51 no. 4, 2010 - vol. 51 no. 3, 2010 - vol. 51 no. 2, 2010 - vol. 51 no. 1, 2010 - vol. 50 no. 4, 2009 - vol. 50 no. 3, 2009 - vol. 50 no. 2, 2009 - vol. 50 no. 1, 2009 - vol. 49 no. 4, 2008 - vol. 49 no. 3, 2008 - vol. 49 no. 2, 2008 - vol. 49 no. 1, 2008 - vol. 48 no. 4, 2007 - vol. 48 no. 3, 2007 - vol. 48 no. 2, 2007 - vol. 48 no. 1, 2007 - vol. 47 no. 4, 2006 - vol. 47 no. 3, 2006 - vol. 47 no. 2, 2006 - vol. 47 no. 1, 2006 - vol. 46 no. 4, 2005 - vol. 46 no. 3, 2005 - vol. 46 no. 2, 2005 - vol. 46 no. 1, 2005 - vol. 45 no. CI, 2004

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Abdominal Wall Dermoid Cyst Endometriosis Abdominal Wall Dermoid Cyst Dermoid Cyst Diagnosis, Differential Endometriosis Endometriosis Female Humans

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