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Nodular fasciitis growing at the port site of robotic surgery for rectal cancer
- Source :
- Surgical Case Reports, Vol 6, Iss 1, Pp 1-6 (2020), Surgical Case Reports
- Publication Year :
- 2020
- Publisher :
- SpringerOpen, 2020.
-
Abstract
- Background Nodular fasciitis (NF) is a type of rare and rapidly growing tumor that affects the muscular fascial layers. Due to its locally aggressive nature and rapid growth, NF can be mistaken as a malignant process on either clinical or histological grounds. Case presentation A 61-year-old man was affected by rectal cancer. We performed a robotic, high-anterior resection with lymph node dissection. According to the 8th edition of Union for International Cancer Control, the diagnosis was stage I pT2N0M0. During a routine follow-up 1.5 years after the robotic surgery, a computed tomography examination revealed a tumor in the upper right abdominal wall, at the site of the surgical port, that measured 45 mm. Magnetic resonance imaging indicated a hypo-intensive mass within the right straight muscle of the abdomen. Port site recurrence following the robotic surgery for rectal cancer was suspected, and an ultrasound-guided fine-needle aspiration was performed; it revealed a low-grade myofibroblastic tumor or benign neoplasm, but was inconclusive. We performed an excision of the lesion, and histopathology confirmed NF, seen as a solid, nodular, spindle-cell lesion. The patient was postoperatively followed for more than 1 year without any sign of recurrence of either cancer or NF. Conclusions NF is histologically benign, but local recurrence frequently occurs. We encountered a patient with NF at the port site after robotic surgery for rectal cancer.
- Subjects :
- Port site after robotic surgery
medicine.medical_specialty
business.industry
Colorectal cancer
lcsh:Surgery
Cancer
Case Report
Nodular fasciitis
lcsh:RD1-811
medicine.disease
Abdominal wall
03 medical and health sciences
Dissection
0302 clinical medicine
medicine.anatomical_structure
030220 oncology & carcinogenesis
medicine
030211 gastroenterology & hepatology
Histopathology
Robotic surgery
Radiology
Rectal cancer
business
Lymph node
Subjects
Details
- Language :
- English
- ISSN :
- 21987793
- Volume :
- 6
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Surgical Case Reports
- Accession number :
- edsair.doi.dedup.....e07f64563a799a8dbd05055637f8b1fd