Desmoid tumor surgery: Difference between revisions
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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> | 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> | *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. | *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. | *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. | *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. | *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. | *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. | *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. | *Incomplete tumor removal or involved excision margins may lead to local recurrence. | ||
==Reference== | ==Reference== | ||
Revision as of 15:36, 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.