Unusual Finding After Resection Of Rectal Adenocarcinoma: Report Of Two Cases [achado Incomum Após Ressecção De Adenocarcinoma Do Reto: Relato De Dois Casos]

Pelvic recurrence after resection of rectal adenocarcinoma is a feared complication and is associated with a worse prognosis and low resectability rates. The differential diagnosis is diff cult, as biopsy is seldom performed preoperatively. We report two cases of desmoid pelvic tumor after resection of rectal adenocarcinoma. Therapeutic options and literature review are described. © 2013 Elsevier Editora Ltda. All rights reserved.333157160Leal, R.F., Ayrizono, M.L.S., Fagundes, J.J., Oliveira, P.S.P., Ângelo, S.N., Coy, C.S.R., Góes, J.R.N., Recidiva Pélvica de Adenocarcinoma de Reto - Abordagem Cirúrgica (2008) Rev Bras Coloproct, 28 (1), pp. 040-045Shinagare, A.B., Ramaya, N.H., Jagannathan, J.P., Krajewski, K.M., Giardino, A.A., Butrynski, J.E., A to Z of Desmoid Tumors (2011) Am J Roentegnol, 197 (6), pp. 1008-1014Sakorafas, G.H., Nissotakis, C., Peros, G., Abdominal Desmoid Tumors (2007) Surg Oncol, 16 (2), pp. 131-142Escobar, C., Munker, R., Thomas, J.O., Li, B.D., Burton, G.V., Update on desmoid tumors (2012) Ann Oncol, 23 (3), pp. 562-569Wanjeri, J.K., Opeya, C.J.O., A massive abdominal wall desmoid tumor occurring in a laparotomy scar: A case report (2011) World J Surg Oncol, 9 (35), pp. 1-4Kasper, B., Strbel, P., Hohenberger, A., Desmoid tumors: Clinical features and treatment options for advanced disease (2011) Oncologist, 16 (5), pp. 682-693Bertani, E., Chiappa, A., Testori, A., Mazzarol, G., Biff, R., Martella, S., Desmoid Tumors of the Anterior Abdominal Wall: Results from a Monocentric Surgical Experience and Review of the Literature (2009) Ann Surg Oncol, 16 (6), pp. 1642-1649Spiridakis, K., Panagiotakis, G., Grigoraki, M., Kokinnos, I., Papadakis, T., Kokkinakis, T., Isolated giant mesenteric f bromatosis (intra-abdominal desmoid tumors) (2008) Case Report. G Chir, 29 (10), pp. 413-416Bonvalot, S., Desai, A., Coppola, S., Pechoux, C.L., Terrier, P., Domont, J., The treatment of desmoid tumors: A stepwise clinical approach (2012) Ann Oncol, 22 (10), pp. 158-166Leal, R.F., Silva, P.V., Ayrizono, M.L.S., Fagundes, J.J., Amstalden, E.M., Coy, C.S., Desmoid tumor in patients with familial adenomatous polyposis (2010) Arq Gastroenterol, 47 (4), pp. 373-378Valejo, F.A.M., Tiezzi, D.G., Nai, G.A., Tumor desmoide abdomino-pélvico (2008) Rev Bras Ginecol Obstet, 31 (1), pp. 35-40Duggal, A., Dickinson, I.C., Sommerville, S., Gallie, P., The management of extra-abdominal desmoids tumours (2004) Int Orthop, 28 (4), pp. 252-256Camargo, V.P., Keohan, M.L., Adamo, D.R., Antonescu, C.R., Brennan, M.F., Singer, S., (2010) Cancer, 116 (9), pp. 2258-2265Oguz, M., Bedirli, A., Gultekin, A., Dursun, A., Mentes, B.B., (2006) Dis Colon Rectum, 49 (9), pp. 1445-1448Lee, J.C., Thomas, J.M., Phillips, S., Fisher, C., Moskovic, E., (2006) Am J Roentgenol, 186 (1), pp. 247-254Sinha, A., Hansmann, A., Bhandari, S., Gupta, A., Burling, D., Rana, S., Imaging assessment of desmoid tumours in familial adenomatous polyposis: Is state-of-the-art 1.5 T MRI better than 64-MDCT? (2012) Br J Radiol, 85 (1015), pp. 254-261Kasper, B., Dimitrakopoulou-Strauss, A., Strauss, L.G., Hohenberger, P., Positron emission tomography in patients with aggressive f bromatosis/desmoid tumours undergoing therapy with imatinib (2010) Eur J Ncl Med Mol Imaging, 37 (10), pp. 1876-1882Melis, M., Zager, J.S., Sondak, V., Multimodality Management of Desmoid Tumors: How Important Is a Negative Surgical Margin? (2008) J Surg Oncol, 98 (8), pp. 594-602Middleton, S.B., Phillips, R.K.S., Surgery for Large Intra-Abdominal Desmoid Tumors (2000) Dis Colon Rectum, 43 (12), pp. 1759-1762Merchant, B.N., Lewis, J.J., Woodruff, J.M., Leung, D.H., Brennan, M.F., Extremity and trunk desmoid tumors: A multifacial analysis of outcome (1999) Cancer, 86 (10), pp. 2045-205