Desmoid tumours

Shields, Conor; Winter, Desmond C.; Kirwan, W. O.; Redmond, H.P

doi:10.1053/ejso.2001.1169

Cited by 213 publications

(300 citation statements)

References 63 publications

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“…Desmoid tumours are most common between puberty and 40 years of age with a peak incidence between the ages of 25-35 years. Women are more commonly affected than men [11,19,21,24]. In our study, the mean age at diagnosis was 32 years, and men outnumbered the women.…”

Section: Discussionmentioning

confidence: 47%

The management of extra-abdominal desmoid tumours

Duggal

Dickinson

Sommerville

et al. 2004

International Orthopaedics (SICOT)

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We performed a retrospective analysis of 35 cases of desmoid tumours (aggressive fibromatoses) that underwent treatment at our institutions between 1987 and 2002. The purpose was to evaluate the rate of local recurrence of desmoid tumours treated with surgical excision, to assess the impact of surgical margins on local recurrence and to define the role of radiotherapy in the treatment. Nine patients experienced a recurrence at an average of 16 months after initial treatment. Seven of the 15 patients with a less-than-wide margin had a local recurrence. Comparatively, only two of the 20 patients with a wide margin had a local recurrence. Thirty-three of the 35 patients were disease free at the last follow-up. We recommend wide excision with clear margins whenever possible. Marginal resections are appropriate when wide excision would severely compromise the function of the limb. Surgical resections and selective supplementation of adjuvant radiotherapy give excellent control rates.Résumé Nous avons exécuté une analyse rétrospective de 35 cas de tumeurs desmoides (fibromatose agressive) traitées dans notre institution entre 1987 et 2002. Le but était d'évaluer le taux de récidive locale après traitement par excision chirurgicale, d'étudier le rôle des marges chirurgicales sur la récidive et de définir le rôle de la radiothérapie dans le traitement. Neuf malades ont eu une récidive à une moyenne de 16 mois après le traitement initial. Sept des 15 malades opérés avec une marge qui n'était pas large, avait une récidive locale. Comparativement, seulement 2 des 20 malades avec une marge large avaient une récidive locale. Trente trois des 35 malades étaient sans maladie au dernier suivi. Nous recommandons l'excision large avec des marges claires toutes les fois que possible. Les résections marginales sont appropriées quand l'excision large compromettrait sévèrement la fonction du membre. Les résections chirurgicales avec, sélectivement, un traitement adjuvant par radiothérapie donnent d'excellents taux de contrôle de la maladie.

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Section: Discussionmentioning

confidence: 47%

The management of extra-abdominal desmoid tumours

Duggal

Dickinson

Sommerville

et al. 2004

International Orthopaedics (SICOT)

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“…Female hormones and trauma including surgical scars are reportedly associated with occurrence of desmoid tumors [1]. Although surgical resection is indicated if the tumor enlarges, the recurrence rate is high at 19% -39.3% [1]- [3], and follow-up is often adopted as the treatment of first choice [4].…”

Section: Discussionmentioning

confidence: 99%

“…This disease is diagnosed by not only imaging studies like CT scan or MRI but histological examinations such as biopsy It often occurs in the trunk and extremities, and surgical resection is indicated if the tumor grows. The recurrence rate is high at 19% -39.3% [1]- [3], and follow-up is often selected as the first choice [4]. We report a patient with a desmoid tumor which had gradually grown in the left lower abdominal port site 1 year after post-chemotherapy laparoscopic RPLND for metastatic testicular tumor; the tumor is diagnosed as desmoid tumor.…”

Section: Introductionmentioning

confidence: 97%

Desmoid Tumor Mimicking Port Site Recurrence after Laparoscopic Retroperitoneal Lymph Node Dissection for Metastatic Testicular Tumor: A Case Report

Hayashi¹,

Ishizuya²,

Takeda³

et al. 2015

CRCM

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Background: Desmoid tumor is a rare benign soft tissue tumor which commonly affects the trunk and extremities. Case presentation: We report a patient who presented with a tumor that slowly grew at the left lower abdominal port site 1 year after post-chemotherapy laparoscopic retroperitoneal lymph node dissection (RPLND) for metastatic testicular tumor. The enlarging mass mimicking port site recurrence after laparoscopic retroperitoneal lymph node dissection for metastatic testicular tumor was diagnosed as a desmoid tumor. Conclusion: To our knowledge, this is the first report of a desmoid tumor that developed after laparoscopic RPLND for a testicular tumor.

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“…Symptoms depend on the location of the tumor. Many studies have shown that between 37% and 50% of desmoids arise in the abdominal region 6 . Intra-abdominal desmoids can remain asymptomatic for a considerable period, while relentlessly enlarging and infiltrating adjacent structures causing intestinal, vascular and urinary obstruction or neural involvement 7 .…”

Section: Discussionmentioning

confidence: 99%