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Extra-abdominal desmoid tumors.

G Markhede, L Lundgren, N Bjurstam

Acta Orthopaedica Scandinavica

|February 1, 1986

Summary

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See all related articles

Extra-abdominal desmoid tumors require complete muscle removal for local control, with surgery effective even after recurrences. Fine-needle aspiration biopsy aids in distinguishing desmoid tumors from malignant soft tissue neoplasms.

Area of Science:

Oncology
Surgical Pathology
Medical Imaging

Background:

Desmoid tumors, though benign, can be locally aggressive and difficult to manage.
Accurate diagnosis and effective treatment strategies are crucial for patient outcomes.

Purpose of the Study:

To evaluate the diagnostic value of fine-needle aspiration biopsy and angiography in managing extra-abdominal desmoid tumors.
To assess the efficacy of surgical management and radiotherapy in achieving local control and long-term survival.

Main Methods:

A follow-up study involving 53 patients diagnosed with extra-abdominal desmoid tumors.
Analysis of fine-needle aspiration biopsy for diagnostic accuracy.
Evaluation of angiographic findings for preoperative planning.

Related Experiment Videos

Review of treatment outcomes, including local recurrence rates, surgical interventions, radiotherapy, and survival data.

Main Results:

Fine-needle aspiration biopsy proved valuable in differentiating desmoid tumors from malignant soft tissue tumors.
Angiography provided essential topographic information for surgical planning, though images were not distinct from other soft tissue tumors.
The local recurrence rate was 17 out of 44 patients, with most recurrences (15) occurring within the first 2 years.
Complete removal of the affected muscle or muscle group was recommended for local control.
Non-ablative surgery achieved local control even after multiple recurrences.
Only one patient died from the tumor disease.
Radiotherapy was considered for extensive tumors, with amputation reserved for treatment-resistant cases.

Conclusions:

Fine-needle aspiration biopsy is a useful diagnostic tool for extra-abdominal desmoid tumors.
Surgical management, including complete muscle excision, is key to achieving local control, even in recurrent cases.
Radiotherapy and amputation are reserved for advanced or refractory disease, respectively.