Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable, firm, non-tender abdominal wall mass, noted to be slowly enlarging over [Duration]. Denies associated systemic symptoms, bowel obstruction, or urinary changes. No history of prior abdominal trauma or surgery at the site. Family history negative for FAP (Familial Adenomatous Polyposis).
Clinical Examination Findings
Abdominal examination reveals a well-defined, firm, fixed mass located within the [Location, e.g., rectus sheath/musculature]. Mass does not change in prominence with Valsalva maneuver (Carnettโs sign positive). No overlying skin changes, erythema, or ulceration. No evidence of inguinal lymphadenopathy or hepatosplenomegaly.
Treatment Protocol
Surgical management plan involves wide local excision with clear margins. If margins are compromised, consider adjuvant radiotherapy or systemic therapy (e.g., tyrosine kinase inhibitors or anti-estrogen therapy). Post-operative surveillance via serial MRI/CT imaging every 3-6 months for the first 2 years.