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Multiple maxillofacial desmoid tumours: a case report.

Y Wu¹, X Li¹, F Guo¹

¹Oral and Maxillofacial Surgery Department, Center of Stomatology, Xiangya Hospital, Central South University, Changsha City, Hunan Province, China; Academician Workstation for Oral and Maxillofacial Regenerative Medicine, Central South University, Changsha City, Hunan Province, China; Research Center of Oral and Maxillofacial Development and Regeneration, Xiangya Hospital, Central South University, Changsha City, Hunan Province, China; National Clinical Research Center for Geriatric Diseases, Xiangya Hospital, Central South University, Changsha City, Hunan Province, China.

International Journal of Oral and Maxillofacial Surgery

|May 1, 2024

Summary

This summary is machine-generated.

Multiple desmoid tumors (DTs) in a young boy's head and neck showed no growth and even involuted over one year. A conservative, "wait-and-see" approach may be suitable for these rare craniofacial DTs.

Keywords:

Adolescent Aggressive fibromatosis Biopsy Conservative treatment Head and neck neoplasms

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Area of Science:

Oncology
Surgical Pathology
Medical Imaging

Background:

Desmoid tumors (DTs) are rare, locally aggressive benign neoplasms with a high recurrence rate.
While common in the extremities and trunk, head and neck DTs are uncommon but pose significant aesthetic challenges.
Limited data exists on the diagnosis and management of multiple DTs in the head and neck region.

Observation:

A 14-year-old boy presented with painless, multiple maxillofacial desmoid tumors.
MRI revealed abnormal signals in the submandibular and bilateral zygomatic regions.
A biopsy via intraoral incision confirmed desmoid tumors, prioritizing facial aesthetics.

Findings:

A conservative 'wait-and-see' strategy was employed for the multiple craniofacial DTs.
During a one-year follow-up, the tumors remained stable and showed signs of involution.
This case suggests a potential for spontaneous regression or stabilization in pediatric craniofacial DTs.

Implications:

A conservative management approach may be appropriate for select cases of pediatric craniofacial desmoid tumors.
Further prospective studies with larger patient cohorts are needed to establish definitive management guidelines and prognosis.
This case highlights the importance of considering aesthetic outcomes in the treatment of head and neck neoplasms.