Tumors of the abdominal wall are comparatively rare, and of the varieties found, fibroma comprises nearly 90 per cent. Fibroma of this locality presents some peculiar features which make it a subject of much interest to the pathologist and to the surgeon. According to the collection of Guerrien, as given by Senn1, nearly 93 per cent. occur in women. It usually follows childbed, and trauma is the common determining cause. The tumor usually begins in the fascia in the lower segment of the abdominal wall and particularly about the crest of the ilium and the sheath of the rectus muscle. It has a marked tendency to extend inward, and may readily be mistaken for an intra-abdominal growth.
This tumor presents certain characteristics which make it difficult of classification. The tumor itself presents the histologic characteristics of a fibroma, but it manifests a marked tendency to infiltrate adjacent tissues and
BOUFFLEUR AI. FIBROSARCOMA OF ABDOMINAL WALL. DESMOID FIBROMA BEGINNING IN POUPART'S LIGAMENT AND EXTENDING AROUND THE ILIAC VESSELS INTO THE PELVIS—REMOVAL WITH RESECTION OF THE ABDOMINAL WALL AND EXTENSIVE DISSECTION OF THE ILIAC VESSELS—REPAIR OF DEFECT IN ABDOMINAL WALL BY PLASTIC OPERATION. JAMA. 1899;XXXIII(14):820–823. doi:10.1001/jama.1899.92450660010001b
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