The medico-legal observation of an aggressive urogenital fibromatosis with isolated development not related to any traumatic event

Enrico Muccino, Guendalina Gentile, Stefano Mantero, Matteo Marchesi, Alessandra Rancati, Riccardo Zoja

Research output: Contribution to journalArticle

Abstract

Desmoid tumor is a fibroproliferative neoplasm with an intermediate malignancy and it can be localized in every bodily district: some locations are considered exceptional, like the urogenital localization. The Author point out a rare case of giant idiopathic scrotal fibromatosis that was found during an autopsy.A widower, that lived alone in poor hygienic conditions, was found dead in his house. The Judicial Authority ordered the autopsy, that was performed two days later at the Medico-Legal Section of Milan University.External examinations revealed only the considerable dimension of the scrotum (cm 24 × 41). The cause of death was fixed in a cardiac tamponade due to a natural heart laceration localized in correspondence of a transmural infarction. The toxicological exam resulted negative, while the histopathological and immunohistochemical analysis qualify the scrotal mass as a desmoids tumor.Due to the absence of predisposing conditions and of fibroproliferative infiltration in bladder and retroperitoneal space, the neoplasm was configured as an idiopathic desmoid tumor. The presented case gives the reason for the discussion concerning medico-legal aspects that are typical of rare neoplasms.

Original languageEnglish
Pages (from-to)e1-e6
JournalForensic Science International
Volume260
DOIs
Publication statusPublished - Mar 1 2016

Keywords

  • Aggressive fibromatosis
  • Autopsy
  • Desmoid tumor
  • Forensic pathology

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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