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Year : 2021  |  Volume : 20  |  Issue : 1  |  Page : 121-124

Fibromatosis with aggressive demeanor: Benign impersonator of malignancy

Department of Nuclear Medicine and PET CT, Apollo Hospitals, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. J Naveen Kumar
Department of Nuclear Medicine, 21 Greams Lane, Off Greams Road, Chennai - 600 006, Tamil Nadu
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DOI: 10.4103/wjnm.WJNM_55_20

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Fibromatosis or desmoid fibromatosis is a rare benign neoplasm and develops commonly in the abdominal wall, abdominal cavity, or extra-abdominal sites. The mainstay of treatment is surgery. Chemotherapy and radiotherapy are preferred in cases of inoperable/relapse or a multifocal disease. Hereby, we report a case of fibromatosis arising in the left popliteal fossa, proven by histopathology and immunohistochemistry. Local excision of the mass was performed. The patient was asymptomatic for 6 months, after which she complained of difficulty in walking. Clinical evaluation elicited recurrence in the surgical bed. In spite of the surgical excision with tumor-free margins, recurrence was seen within a span of 6 months.18F-fluorodeoxyglucose (FDG) positron emission tomography-computed tomography (PET/CT) was done to rule out multifocal disease and to define the extent of relapse. Although magnetic resonance imaging provides an excellent soft-tissue resolution to delineate the disease,18F-FDG PET/CT is an important and supplementary tool which aids in the management of fibromatosis.

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