FREQUENTLY, huge malignant tumors involving a large area of the abdominal wall, are of such size as to discourage the attempt at complete excision, with the attendant probability of cure. Furthermore, the ensuing difficulty of replacing a massive abdominal defect is not without the danger of subsequent hernia formation.
It is well known that "there are two types of invasive connective tissue tumors which may arrive primarily in the abdominal wall:—the desmoid tumor and the fibrosarcoma."30
Objective physical examination cannot establish the diagnosis of these tumors. Even at operation, frozen section will leave a degree of uncertainty in the surgeon's, as well as in the pathologist's, mind unless invasion or infiltration can be demonstrated. Both types of tumor present firm, usually rounded, circumscribed masses. The differential diagnosis must include benign mesodermal tumors in the abdominal parietes, such as lipoma, fibroma, myxoma, neurofibroma, rhabomyoma, lymphangioma, and hemangioma. Metastatic carcinoma and
WICKMAN W, LAMPHIER TA. FIBROSARCOMA OF ANTERIOR ABDOMINAL WALLReplacement of Massive Defect of Entire Abdominal Wall with Tantalum Gauze. AMA Arch Surg. 1954;69(5):669-680. doi:10.1001/archsurg.1954.01270050073014