[Giant desmoid tumor in the neck]

Area of Science:

• Oncology
• Surgical Pathology
• Head and Neck Surgery

Background:

• Desmoid tumors (also known as aggressive fibromatosis) are benign neoplasms originating from the musculoaponeurotic system.
• They are characterized by local invasion and can cause significant morbidity and mortality due to compression of adjacent structures.
• While uncommon, desmoid tumors can occur in the head and neck region, posing unique diagnostic and therapeutic challenges.

Observation:

• This case report presents an exceptionally large desmoid tumor in the head and neck region.
• The tumor exhibited significant local invasion, impacting surrounding facial planes.
• The patient's presentation underscores the potential for substantial deformities and complications.

Findings:

• The presented desmoid tumor is, to the best of our knowledge, the largest reported case in the head and neck literature.
• Advanced desmoid tumors in this region typically require a multimodal treatment approach.
• Surgical resection and radiotherapy are the primary treatment modalities for advanced cases.

Implications:

• This case highlights the aggressive potential of desmoid tumors even in benign neoplasms.
• It emphasizes the importance of early diagnosis and comprehensive management strategies for head and neck desmoid tumors.
• Further research into optimal treatment protocols for large and locally invasive desmoid tumors is warranted.