Radical palliative surgery: New limits to pursue

Mindy Young-Spint, Yigit S. Guner, Frederick J Meyers, Philip D Schneider, Vijay P. Khatri

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

This case report describes the radical subtotal palliative resection of a massive recurrent desmoid tumor encompassing the abdomen, pelvis, and groin in a child who was 13 years old at the time of initial resection. Given the extensive distribution of the tumor en bloc resection, which is the standard treatment of desmoid tumors, would have meant performing a hemipelvectomy and repair of a large abdominal wall defect, likely with skin grafts and mesh. The patient's personal goals however were to alleviate the pain and limited mobility that would allow her to re-attend high school and appear normal to her peers. Therefore, palliative surgery was pursued and currently the patient is 5 years out from her last surgery doing well. We believe that the option of surgical palliation in this case was warranted and should be an option for similar cases in the future.

Original languageEnglish (US)
Pages (from-to)917-921
Number of pages5
JournalPediatric Surgery International
Volume25
Issue number10
DOIs
StatePublished - 2009

Keywords

  • Desmoid tumor
  • Palliation
  • Palliative surgery
  • Pediatric
  • Radical surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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