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[Desmoid tumors and brachial plexus].

J N Goubier1, F Teboul, C Oberlin

  • 1Service de chirurgie orthopédique et traumatologique, chirurgie de la main et des nerfs périphériques, groupe hospitalier Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France. goubjnal@club-internet.fr

Chirurgie De La Main
|November 13, 2003
PubMed
Summary

Surgical treatment of desmoid tumors near the brachial plexus can achieve good functional outcomes. Wide resection margins are crucial for preventing recurrence while preserving limb function.

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Area of Science:

  • Orthopedic Surgery
  • Oncology
  • Neurosurgery

Context:

  • Desmoid tumors near the brachial plexus present unique surgical challenges.
  • Preserving neurological and vascular structures is critical for limb function.

Purpose:

  • To evaluate functional outcomes and treatment challenges for brachial plexus desmoid tumors.
  • To analyze surgical management, including resection margins and adjuvant therapies.

Summary:

  • Seven patients with brachial plexus desmoid tumors underwent surgical resection (marginal in 6, intralesional in 1).
  • Postoperative chemotherapy was given to 3 patients, and radiation therapy to 1.
  • No amputations were required; 6 patients achieved good or excellent functional results (mean MSTS = 72.8).

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Impact:

  • Highlights the importance of wide resection margins to prevent desmoid tumor recurrence.
  • Emphasizes nerve and vessel preservation for maintaining upper limb function.
  • Suggests a potential need for adjuvant therapies in managing these complex tumors.