WOMENS-HEALTH Messages for January, 2001: Re: (no subject)

Re: (no subject)

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 17 Jan 2001 16:15:03 -0600 (CST)

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In reply to: anonymous@obgyn.net: "(no subject)"

At Wed, 17 Jan 2001, anonymous@obgyn.net wrote: >
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>Hi. My name is Wendy and I have been diagnosed with a desmoid tumor. I would
>appreciate if you could help me with some questions I have. The tumor is
>located in the abdominal wall. I had it removed and now they are telling me
>I need a wide margin excision of the surrounding area with replacement mesh
>to cover the gap. Will I be able to have another baby after is surgery?
>Have you heard this to be a common young women's postpartum disease? Where
>can I find more info. of other protocols and their success rates? Do I need
>this wide margin excision? Do you have any patients who had this procedure?
>Do you know if after the removal of the surrounding tissues has there been
>reoccurence? Frightened in New Jersey. Please help me with the questions.
>Thank you very much. Wendy

Wendy, A desmoid tumor is a form of fibrous proliferation that has been classified as a form of low grade (meaning not very aggressive) fibrosarcoma. It does not seem to metastasize (spread to other parts of the body)but it will continue to invade the surrounding tissue if left alone. It primarily effects young females and is often noted following a pregnancy. However, in the big picture, is not very common-I have never seen one. It is important to do the wide local excision to assure that they have gotten all of the tumor. Otherwise, it will continue to proliferate and result in more procedures. The graft for the fascia should not be a problem for future pregnancy as long as you wait a period of six months to a year from the time of the graft placement. By that time, the fascia will have replaced itself over the graft and the abdominal wall integrity will have returned. Certainly ask your physicians however what they recommend... Lynn

>
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>Hi. My name is Wendy and I have been diagnosed with a desmoid tumor. I would
>appreciate if you could help me with some questions I have. The tumor is
>located in the abdominal wall. I had it removed and now they are telling me
>I need a wide margin excision of the surrounding area with replacement mesh
>to cover the gap. Will I be able to have another baby after is surgery?
>Have you heard this to be a common young women's postpartum disease? Where
>can I find more info. of other protocols and their success rates? Do I need
>this wide margin excision? Do you have any patients who had this procedure?
>Do you know if after the removal of the surrounding tissues has there been
>reoccurence? Frightened in New Jersey. Please help me with the questions.
>Thank you very much. Wendy
>
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--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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In reply to: anonymous@obgyn.net: "(no subject)"

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