Desmoid-type chest wall fibromatosis. A six cases series

Zehani-Kassar, A.; Ayadi-Kaddour, A.; Marghli, A.; Ridène, I.; Daghfous, H.; Kilani, T.; Mezni, Faouzi El

doi:10.1016/j.otsr.2010.09.017

Cited by 16 publications

(11 citation statements)

References 13 publications

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“…Apart from a limited number of radiologic reports, 6 previous descriptions of desmoid-type fibromatosis of the thorax have mostly focused on their clinical and pathologic features; imaging features were not the major concern and were often equivocally described. 7 , 8 Although there have been a few radiologic reports of desmoid-type fibromatosis, they lacked details that could be of use in differentiating desmoid-type fibromatosis from other masses in the thorax. 9 , 10 In addition, few studies included the use of 18 F-fluorodeoxyglucose positron emission tomography (FDG PET).…”

Section: Introductionmentioning

confidence: 99%

Desmoid-Type Fibromatosis of the Thorax

Koo

Lim

et al. 2015

Medicine

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The purpose of this study was to describe the radiologic findings of computed tomography (CT), magnetic resonance (MR) imaging, and 18F-fluorodeoxy glucose positron emission tomography (FDG PET) in desmoid-type fibromatosis of the thorax.We retrospectively evaluated 47 consecutive patients with pathologically proven desmoid-type fibromatosis from January 2005 to March 2015. Patients underwent CT (n = 36) and/or MR (n = 32), and 13 patients also underwent FDG PET. Based on CT and MR, the sizes, locations, margins, contours, presence of surrounding fat, extra-compartment extension, bone involvement, and neurovascular involvement of the tumors were recorded. The attenuation, signal intensity, enhancement pattern, and presence of internal low signal band or signal void of the tumors were evaluated. Initial image findings were then compared between 2 groups of tumors: group 1 with recurrence or progression, and group 2 with no recurrence or stable without treatment.Median age at diagnosis of the tumors was 45 years, range 4 to 96, female-to-male ratio 1.8. Median tumor long diameter was 65 mm (range, 22–126 mm). The most common locations were chest wall (42.6%), followed by supraclavicular area, shoulder or axillary area, and mediastinum. The tumors had well-defined margins (83.0%), lobulated in contours (66.0%) surrounding fat (63.8%), extra-compartment extensions (42.6%), bone involvements (42.6%), and neurovascular involvements (27.7%). On CT, tumors had low attenuation (60.0%) with mild enhancement (median 24 HU, range 0–52). On MR, they showed iso-signal intensity (SI) (96.9%) on T1-weighted images (WI), and high SI (90.6%) on T2WI images, with strong (87.5%) and heterogeneous (96.9%) enhancement. Internal low signal bands (84.4%) and signal voids (68.8%) were noted. The median value of maxSUV was 3.1 (range, 2.0–7.3). In group 1 (n = 19, 40.4%), 13 patients suffered recurrence and 6 experienced progression. Group 2 (n = 28, 59.6%) consisted of 21 patients with no recurrence and 7 stable patients receiving no treatment. Partially ill-defined margins (OR, 0.167; 95% CI 0.029–0.943; P = 0.043) was the independent predictor for recurrence or progression of tumor.Knowledge of the radiological findings in desmoid-type fibromatosis on CT, MR, and FDG PET may help to improve diagnosis. Tumors with partially ill-defined margins have a tendency to recur or progress.

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Section: Introductionmentioning

confidence: 99%

Desmoid-Type Fibromatosis of the Thorax

Koo

Lim

et al. 2015

Medicine

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“…The EAF of axilla with largest size were 4×4×3 and 10×8×5 cm 3 reported by Pacheco Compaña et al and Duan et al , respectively 5 9. In the series by Kabir et al and Zehani-Kassar et al , the average size of tumour was 6 and 8.75 cm, respectively 10 11. In other two reports by Ali Kaygin et al and Jain et al described the EAF of popliteal region with size of 9 and 8 cm, respectively 12 13.…”

Section: Descriptionmentioning

confidence: 88%

Largest size of extra-abdominal fibromatosis of axilla in a young man

Kumar

Sinha

et al. 2019

BMJ Case Rep

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“…3,[5][6][7][8][9][10][11][12][13][14][15][16] Desmoid-type fibromatosis following thoracotomy for malignancy should be discriminated from chest wall recurrence or dissemination of the previous disease. The tumors can be divided into chest wall and intrathoracic desmoid-type fibromatoses ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

A Case of Desmoid-Type Fibromatosis Arising after Thoracotomy for Lung Cancer with a Review of the English and Japanese Literature

Mori

Yamada

Ohba

et al. 2014

ATCS

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Chest wall desmoid-type fibromatoses are rare tumors 1) that occasionally arise from thoracotomy scars. 2,3) They are locally aggressive tumors that occasionally exhibit local recurrence after resection. 4) Desmoid tumors arising from thoracotomy scars in patients with lung cancer should be discriminated from chest wall recurrence or dissemination of lung cancer. To address this issue, we present our case and review cases of desmoid-type fibromatosis following a previous thoracotomy that were reported in English or Japanese. Case ReportA 62-year-old woman was found to have a chest wall tumor on chest computed tomography (CT) at a 1-year routine follow-up after video-assisted thoracoscopic segmentectomy for pT1aN0M0 lung adenocarcinoma. The tumor was 3.4 × 1.3 cm in size, and it was located in the previous thoracotomy site (Fig. 1A). Positron emission tomography (PET) revealed mild 18 F-fluorodeoxyglucose (FDG) accumulation in the tumor, with a maximal standardized uptake value (SUV max ) of 1.9. There was no effusion or other lesions on CT and PET. She had no apparent elevation of carcinoembryonic antigen (CEA; 1.9 ng/ml [normal range, <2.0 ng/ml]) compared to the preoperative CEA value of 1.3 ng/ml. CT-guided A Case of Desmoid-Type Fibromatosis Arising after Thoracotomy for Lung Cancer with a Review of the English and Japanese LiteratureTakeshi Mori, MD, PhD, Tatsuya Yamada, MD, Yasuomi Ohba, MD, PhD, Kentaro Yoshimoto, MD, PhD, Koei Ikeda, MD, PhD, Kenji Shiraishi, MD, PhD, and Makoto Suzuki, PhD, MD Chest wall desmoid-type fibromatoses are rare, locally aggressive tumors that occasionally arise from previous thoracotomy sites. Tumors arising from previous sites of thoracotomy to treat malignant disease should be discriminated from the pleural dissemination of the previous malignancy. In this study, we report a case of desmoid-type fibromatosis arising from a site for thoracotomy to treat lung cancer. Additionally we reviewed 15 reported cases of desmoid-type fibromatosis following thoracotomy and summarized their features. A 62-year-old woman was found to have a tumor on computed tomography (CT) at a 1-year routine checkup for lung cancer. The tumor (diameter, 3.4 cm) was located at the previous thoracotomy site. Positron emission tomography (PET) revealed mild 18 F-fluorodeoxyglucose (FDG) accumulation in the tumor, with a maximal standardized uptake value (SUV max ) of 1.9. CT-guided biopsy revealed only fibrous tissue. Eighteen months after the biopsy, CT revealed apparent tumor growth, and a biopsy revealed the same histology observed previously. The tumor was removed and diagnosed as desmoid-type fibromatosis. Currently, the patient is alive without recurrence 4 years after desmoid surgery.

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Desmoid-type chest wall fibromatosis. A six cases series

Abstract: Although it is considered to be a benign lesion, this tumor can be locally very aggressive, and has a high local recurrence rate depending upon the efficacy of surgical resection.

Cited by 16 publications

References 13 publications

Desmoid-Type Fibromatosis of the Thorax

Desmoid-Type Fibromatosis of the Thorax

Largest size of extra-abdominal fibromatosis of axilla in a young man

A Case of Desmoid-Type Fibromatosis Arising after Thoracotomy for Lung Cancer with a Review of the English and Japanese Literature

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