Evidence map›Paper›PMID 40556999›Full record

ArticleCureus2025

Sporadic Desmoid-Type Fibromatosis of the Small Intestine Muscularis Propria: A Case Report.

Kai Nakao, Yusuke Okamura, Satoshi Kaihara, Azusa Uchimoto, Shigeo Hara

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kai NakaoDepartment of Surgery, Kobe City Medical Center General Hospital, Kobe, JPN.
Yusuke OkamuraDepartment of Surgery, Kobe City Medical Center General Hospital, Kobe, JPN.
Satoshi KaiharaDepartment of Surgery, Kobe City Medical Center General Hospital, Kobe, JPN.
Azusa UchimotoDepartment of Pathology, Kobe City Medical Center General Hospital, Kobe, JPN.
Shigeo HaraDepartment of Pathology, Kobe City Medical Center General Hospital, Kobe, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Desmoid-type fibromatosis is a rare, locally aggressive tumor of fibroblastic origin that typically arises from the mesentery or abdominal wall. Sporadic desmoid-type fibromatosis originating from the small intestinal wall is extremely rare and presents unique diagnostic challenges due to its nonspecific imaging findings and lack of mucosal involvement. A 69-year-old man with a history of prostate cancer and right renal cell carcinoma underwent routine postoperative surveillance, during which a proximal jejunal mass was incidentally detected on contrast-enhanced computed tomography (CT). Fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) revealed moderate FDG uptake (maximum standardized uptake value (SUVmax), 3.62), raising suspicion for gastrointestinal stromal tumor or metastatic disease. Double-balloon enteroscopy showed no mucosal or submucosal lesions. Surgical exploration revealed four masses, including one arising from the muscularis propria of the jejunum and three within the mesentery. The jejunum was resected over a length of 80 cm, and reconstruction was performed using functional end-to-end anastomosis after extensive duodenal mobilization. Histopathological examination confirmed desmoid-type fibromatosis. The patient recovered uneventfully. This case highlights the diagnostic difficulty and potential for multifocality in sporadic intra-abdominal desmoid-type fibromatosis. It underscores the importance of including desmoid-type fibromatosis in the differential diagnosis of mesenteric or submucosal tumors, especially in patients with a history of abdominal surgery. Surgical exploration and tailored reconstruction strategies are essential for achieving curative resection while preserving bowel length. Given the patient's history of prior abdominal surgeries, this case supports the hypothesis that surgical trauma may contribute to tumor development in sporadic desmoid-type fibromatosis.

Indexed as

desmoid tumorfamilial adenomatous polyposisjejunal neoplasmlaparotomymesenteric invasionmuscularis propriasmall bowel tumorspindle cell tumorsporadic caseβ-catenin immunostaining

Identifiers

PMID40556999
PMCPMC12187044

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