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Extraabdominal desmoid tumors.

Kurtus Dafford1, Daniel Kim, Adriane Nelson

  • 1Department of Neurosurgery, Tulane University Medical Center, New Orleans, Louisiana, USA.

Neurosurgical Focus
|July 7, 2007
PubMed
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This study on desmoid tumors found brachial plexus involvement in most cases. Function-sparing excision is the preferred treatment for these challenging, infiltrative tumors.

Area of Science:

  • Oncology
  • Surgical Pathology
  • Neurosurgery

Background:

  • Desmoid tumors are rare, locally invasive fibrous neoplasms.
  • They exhibit infiltrative growth with a low metastatic potential.
  • Extra-abdominal desmoid tumors present unique surgical challenges.

Observation:

  • A retrospective study analyzed 15 desmoid tumors in 11 women and 4 men.
  • Brachial plexus lesions predominated (86%), followed by lumbar and peroneal nerve involvement.
  • Recurrence after initial treatment occurred in 60% of patients, necessitating further resection.

Findings:

  • Pain status varied, with improvement in 27%, no change in 40%, and worsening in 33% of patients.
  • Tumor recurrence requiring reoperation was observed in 13% of cases.

Related Experiment Videos

  • Large tumor size and plexal element involvement complicated surgical resection.

    • Implications:

    • Function-sparing excision is the optimal surgical approach for extra-abdominal desmoid tumors.
    • Radiation or brachytherapy may be considered for refractory or recurrent cases where resection is not feasible.
    • Understanding the high recurrence rate and challenges in brachial plexus desmoid tumors is crucial for patient management.