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Desmoid tumors, characterized by aggressive local infiltration of surrounding tissues, are uncommon benign neoplasms
with no metastatic potential , that occasionally may attain large size.
We report a case of a 37-year-old woman with an abdominal wall desmoid tumor that appeared and grew rapidly during
her pregnancy, diagnosed by trucut core biopsy.
Complete surgical excision of a 20x16cm in size tumor and immediate reconstruction with mesh was performed in the
postpartum period. She had no postoperative complications and no recurrence at 2-year follow-up.
Optimal management of large abdominal wall desmoids during pregnancy has to be individualized, with wide surgical
excision remaining the treatment of choice.