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Case Reports in Pathology
Volume 2012 (2012), Article ID 245671, 5 pages
http://dx.doi.org/10.1155/2012/245671
Case Report

Sporadic Intra-Abdominal Desmoid: A Rare Presentation as a Hepatic Mass

Department of Surgery, Medical College, Kolkata, 88, College Street, Kolkata 700073, India

Received 31 July 2012; Accepted 5 September 2012

Academic Editors: A. Pich, R. Raghavan, and D. Tsuruta

Copyright © 2012 Shahana Gupta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report an unusual presentation of a sporadic intra-abdominal desmoid tumour, possibly arising from the diaphragm, masquerading as a hepatic mass in a young female without any history of surgery or trauma. Histopathology ruled out a hepatic origin of the tumour as was inferred from pre- and intraoperative evaluation. Immunohistochemistry showed positivity of lesional fibroblastic cells for β-catenin and negativity for CD34, CD117, EMA, SMA, desmin, vimentin, cytokeratin, and ALK1 thereby confirming the diagnosis of a desmoid tumour. There exist only a few reports in the literature on desmoids related to the diaphragm, but only one on a diaphragmatic desmoid that is possibly primary.