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Area of Science:

  • Oncology
  • Genetics
  • Pathology

Background:

  • Desmoid tumors are monoclonal, locally aggressive neoplasms without metastatic potential.
  • They arise sporadically (CTNNB1 mutation) or hereditarily (APC mutation), both leading to abnormal beta-catenin accumulation.
  • Common sites include extremities and thoracic wall; familial adenomatous polyposis-associated cases present intra-abdominally or in the abdominal wall.

Purpose of the Study:

  • To provide a narrative review of desmoid tumors.
  • To summarize current knowledge on molecular pathogenesis, diagnosis, and treatment strategies.

Main Methods:

  • Literature review of desmoid tumors.
  • Synthesis of information on molecular basis, diagnostic modalities, and therapeutic options.

Main Results:

  • Desmoid tumors exhibit variable behavior, with potential for spontaneous stabilization or regression.
  • Diagnosis relies on histopathology and imaging (ultrasound, CT, MRI).
  • Management includes active surveillance, systemic therapy, radiotherapy, or surgery based on clinical presentation.

Conclusions:

  • Desmoid tumors require careful evaluation and tailored management strategies.
  • Active surveillance is often the initial approach for non-progressive disease.
  • Multidisciplinary treatment is essential for symptomatic or disabling cases.