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Abraham N, Nabawi AS. The challenging case of a primigravid Bedouin woman with a dormant neck nodule that grew explosively during her pregnancy. J Surg Case Rep. 2019;2019(3):rjz061doi: 10.1093/jscr/rjz061.
Abraham, N., & Nabawi, A. S. (2019). The challenging case of a primigravid Bedouin woman with a dormant neck nodule that grew explosively during her pregnancy. Journal of surgical case reports, 2019(3), rjz061. https://doi.org/10.1093/jscr/rjz061
Abraham, Nader, and Nabawi, Ayman S. "The challenging case of a primigravid Bedouin woman with a dormant neck nodule that grew explosively during her pregnancy." Journal of surgical case reports vol. 2019,3 (2019): rjz061. doi: https://doi.org/10.1093/jscr/rjz061
Abraham N, Nabawi AS. The challenging case of a primigravid Bedouin woman with a dormant neck nodule that grew explosively during her pregnancy. J Surg Case Rep. 2019 Mar 20;2019(3):rjz061. doi: 10.1093/jscr/rjz061. eCollection 2019 Mar. PMID: 30906520; PMCID: PMC6425158.
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J Surg Case Rep. 2019 Mar 20;2019(3):rjz061. doi: 10.1093/jscr/rjz061. eCollection 2019 Mar.

The challenging case of a primigravid Bedouin woman with a dormant neck nodule that grew explosively during her pregnancy.

Journal of surgical case reports

Nader Abraham, Ayman S Nabawi

Affiliations

  1. Department of Surgery, Alexandria University School of Medicine, Alexandria, Egypt.

PMID: 30906520 PMCID: PMC6425158 DOI: 10.1093/jscr/rjz061

Abstract

A Desmoid tumor in the neck is a rare tumor in an even more unusual site. Our patient was an 18-year-old primigravid Bedouin woman from northwest Egypt. She presented with a dormant neck nodule that grew explosively during her first pregnancy and stopped abruptly after delivery. The presentation was confusing at first, as the fixation of the tumor to the underlying tissues implied a malignancy, while a 1-year history of non-metastasis alluded to a benign process. Pre-operative tissue diagnosis revealed an Estrogen receptor-expressing desmoid tumor. Desmoid tumors are indeed locally invasive with no metastatic potential, but they tend to recur and grow during high-estrogen states. This report aims to increase awareness of peripartum Desmoid tumors, as well as discuss the surgical-site, psychological and socioeconomic challenges in the peculiar case of this Bedouin woman, and our recommendations after this experience and literature review.

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