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Cirujano general
Print version ISSN 1405-0099
Abstract
VENEGAS-MEDINA, Lluvia del Carmen; ETEROVIC-RUIZ, Danilo; RODRIGUEZ-PAZ, Carlos Agustín and DIAZ DE LEON MEDINA, Ricardo. Surgical approach and resolution without prosthesis of desmoid fibromatosis in the shoulder girdle, report case. Cir. gen [online]. 2021, vol.43, n.3, pp.176-180. Epub June 02, 2023. ISSN 1405-0099. https://doi.org/10.35366/108570.
46-year-old female patient who started with pain in the right shoulder and subsequent diagnosis of slow-growing supraclavicular tumor, with biopsy with histopathological report of intermuscular lipoma. A computerized axial tomography was performed, showing a right subscapular tumor that erodes the scapular spine and replaced the subscapularis muscle. Resection of right scapular waist type 4, Tikhoff-Linberg without use of scapula or humerus prosthesis, with histopathological report and immunohistochemical of fibromatosis. Patient currently pharmacologically controlled pain and limited movements. Desmoid fibromatosis has an incidence of two to five cases per million of habitants, surgical resection is the management of choice using the Tikhoff-Linberg technique with the use of prostheses, in this case performing a surgical variable without the use of prostheses.
Keywords : desmoid fibromatosis; surgery; Tikhoff-Linberg.