Desmoid tumor surgery: Difference between revisions
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{{CMG}} {{AE}}{{Faizan}} | {{CMG}} {{AE}}{{Faizan}} | ||
==Overview== | ==Overview== | ||
Surgical resection is not recommended among patients with advanced or metastatic [[malignancy]].<ref name="EconomouPitta2011">{{cite journal|last1=Economou|first1=Athanasios|last2=Pitta|first2=Xanthi|last3=Andreadis|first3=Efstathios|last4=Papapavlou|first4=Leonidas|last5=Chrissidis|first5=Thomas|title=Desmoid tumor of the abdominal wall: a case report|journal=Journal of Medical Case Reports|volume=5|issue=1|year=2011|pages=326|issn=1752-1947|doi=10.1186/1752-1947-5-326}}</ref> | |||
==Surgery== | ==Surgery== | ||
Surgical resection is not recommended among patients with advanced or metastatic [[malignancy]].<ref name="EconomouPitta2011">{{cite journal|last1=Economou|first1=Athanasios|last2=Pitta|first2=Xanthi|last3=Andreadis|first3=Efstathios|last4=Papapavlou|first4=Leonidas|last5=Chrissidis|first5=Thomas|title=Desmoid tumor of the abdominal wall: a case report|journal=Journal of Medical Case Reports|volume=5|issue=1|year=2011|pages=326|issn=1752-1947|doi=10.1186/1752-1947-5-326}}</ref> | |||
Desmoid tumor does not have any propensity for metastasis although can aggressively invade structures. | |||
The optimal management for aggressive fibromatosis depends on tumor location and extent. | |||
Surgical resection may be offered although the likelihood of local recurrence after surgery is high, particularly if margins are positive. | |||
Wide local excision followed by reconstruction of the defect is the treatment of choice. | |||
Full-thickness resection of the tumor-containing abdominal wall with a grossly negative margin has to be performed when the lesion closely approximates or involves the peritoneum. | |||
Intraperitoneal organs or adjacent bony structures involved by tumor must be resected as well. | |||
Incomplete tumor removal or involved excision margins may lead to local recurrence. | |||
==Reference== | ==Reference== | ||
Revision as of 15:35, 26 January 2016
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Desmoid tumor Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]
Overview
Surgical resection is not recommended among patients with advanced or metastatic malignancy.[1]
Surgery
Surgical resection is not recommended among patients with advanced or metastatic malignancy.[1] Desmoid tumor does not have any propensity for metastasis although can aggressively invade structures. The optimal management for aggressive fibromatosis depends on tumor location and extent. Surgical resection may be offered although the likelihood of local recurrence after surgery is high, particularly if margins are positive. Wide local excision followed by reconstruction of the defect is the treatment of choice. Full-thickness resection of the tumor-containing abdominal wall with a grossly negative margin has to be performed when the lesion closely approximates or involves the peritoneum. Intraperitoneal organs or adjacent bony structures involved by tumor must be resected as well. Incomplete tumor removal or involved excision margins may lead to local recurrence.