RESUMO
CASES: Two cases of desmoid-type fibromatosis developing after laparoscopic hernia repair are described: one in a young male 3 years after laparoscopic umbilical hernia repair and the other in a young female 1 year after laparoscopic incisional hernia repair. FINDINGS: The male patient presented with a slowly enlarging non-tender firm abdominal wall mass; the female patient had similar findings. Excision biopsy in the male and core biopsy in the female were consistent with fibromatosis. TREATMENT: The young male patient underwent resection of the fibromatosis, and the female patient has been managed conservatively. RELEVANCE TO CURRENT KNOWLEDGE: These are the first documented cases of fibromatosis developing after laparoscopic hernia surgery. Whilst the safety of hernia meshes has been assessed in animal studies, it may be that more detailed study of intraperitoneal placement of these meshes is required.
Assuntos
Fibromatose Abdominal , Hérnia Ventral/cirurgia , Herniorrafia/efeitos adversos , Laparoscopia/efeitos adversos , Complicações Pós-Operatórias , Parede Abdominal/patologia , Parede Abdominal/fisiopatologia , Parede Abdominal/cirurgia , Adulto , Biópsia , Feminino , Fibromatose Abdominal/etiologia , Fibromatose Abdominal/patologia , Fibromatose Abdominal/fisiopatologia , Fibromatose Abdominal/cirurgia , Hérnia Ventral/fisiopatologia , Herniorrafia/instrumentação , Herniorrafia/métodos , Humanos , Laparoscopia/instrumentação , Laparoscopia/métodos , Imageamento por Ressonância Magnética/métodos , Masculino , Complicações Pós-Operatórias/patologia , Complicações Pós-Operatórias/fisiopatologia , Complicações Pós-Operatórias/cirurgia , Telas Cirúrgicas/efeitos adversos , Resultado do Tratamento , Ultrassonografia/métodosRESUMO
Using archived tumours, those from 1984-1986 and 1996-1997 underwent immunohistochemistry for hormone receptors and grade analysis. A significant shift towards more ER-positive and low-grade disease was found; this appears to reflect screening practices, but could still influence survival.