Mesenteric desmoid tumor in Gardner's syndrome treated by sulindac
作者:
Paul Belliveau,
A. Graham,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1984)
卷期:
Volume 27,
issue 1
页码: 53-54
ISSN:0012-3706
年代: 1984
出版商: OVID
关键词: Familial polyposis coli;Gardner's syndrome;Mesenteric desmoid;Therapy
数据来源: OVID
摘要:
&NA;Mesenteric desmoid tumors are a recognized sequela of colectomy for polyposis coli of Gardner's type. Relentless growth and recurrence carry a poor prognosis. Recently, nonsteroidal anti‐inflammatory drugs have been used to halt the growth of these tumors, presumably by interfering with prostaglandin metabolism. A 36‐year‐old man presented with small‐bowel obstruction secondary to a large, diffuse mesenteric desmoid six years following colectomy and ileoproctostomy. Laparotomy revealed it to be unresectable. Postoperatively, he was started on sulindac (Clinoril®) 100 mg twice a day. His obstruction resolved, and he remains well at 11 months. A CT scan shows diminution in the size of the tumor. Nonsteroidal anti‐inflammatory agents may be an alternative to chemotherapy and radiotherapy in treating mesenteric desmoids.
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