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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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