Journal of Postgraduate Medicine, Education and Research

Register      Login

VOLUME 52 , ISSUE 1 ( January-March, 2018 ) > List of Articles


Desmoid Tumor: Rare Abdominal Wall Lump in a Multiparous Woman

Niranjan Khandelwal, Mandeep Garg, Nidhi Prabhakar, Divya Dahiya

Citation Information : Khandelwal N, Garg M, Prabhakar N, Dahiya D. Desmoid Tumor: Rare Abdominal Wall Lump in a Multiparous Woman. J Postgrad Med Edu Res 2018; 52 (1):31-33.

DOI: 10.5005/jp-journals-10028-1271

License: CC BY 3.0

Published Online: 00-03-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.



Desmoids are rare tumors. Abdominal wall desmoids are more common in women of reproductive age, especially postpartum women. Here we present a case of desmoid tumor in a 37-year-old multiparous woman, who came with the complaint of a slowly growing painless abdominal lump.

Case report

A 37-year-old multiparous female presented with the complaint of a gradually increasing, painless abdominal lump. On physical examination, a well-defined, firm, mobile mass was palpated in the suprapubic region. Ultrasound revealed a homogeneous hypoechoic lesion in the right anterolateral abdominal wall. Computed tomography (CT) of the abdomen showed a well-defined homogeneous mass in relation to the inferior aspect of right rectus abdominis muscle. These clinical and imaging features were highly suggestive of abdominal wall desmoid, which was confirmed on fine needle aspiration cytology and postoperative tumor histopathology.


Desmoids are uncommon benign, locally aggressive fibrous lesions that have an insidious course. Conventionally, these are classified as abdominal desmoids (occurring in abdominal wall, mesentery, or retroperitoneum) and extra-abdominal desmoids (affecting shoulder girdle, trunk, lower extremities, etc.). The definitive diagnosis of desmoid has to be established on histopathology. Wide local excision remains the definitive treatment of abdominal wall desmoids. Radiation therapy, chemotherapy, and endocrine therapy are the other treatment options.

How to cite this article

Garg M, Prabhakar N, Prakash M, Dahiya D, Khandelwal N. Desmoid Tumor: Rare Abdominal Wall Lump in a Multiparous Woman. J Postgrad Med Edu Res 2018;52(1):31-33.

PDF Share
  1. Desmoid tumors in pregnant and postpartum women. Cancers (Basel) 2012 Feb;4(1):184-192.
  2. Synchronous multicentric desmoid tumours (aggressive fibromatosis) of the extremities. Skeletal Radiol 1988 Jan;17(1):16-19.
  3. Abdominal desmoids: CT findings in 25 patients. AJR Am J Roentgenol 1991 Aug;157(2):275-279.
  4. Imaging of intra and extra abdominal desmoid tumors. Radiographics 1991 Nov;11(6):959-968.
  5. Sonography of abdominal desmoid tumors in adolescents. J Ultrasound Med 1989 Aug;8(8):467-470.
  6. Sonographic evaluation of fibromatosis (aggressive type) using Color Doppler Interrogation. J Diagn Med Sonogr 2003 Jul-Aug;19(4):248-251.
  7. Desmoid tumour of the abdominal wall. Radiology 2005 Jul;236(1):81-84.
  8. Role of imaging in management of desmoid-type fibromatosis: a primer for radiologists. Radiographics 2016 May-Jun;36(3):767-782.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.