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Extra-abdominal desmoid tumors.

M G Rock, D J Pritchard, H M Reiman

    The Journal of Bone and Joint Surgery. American Volume
    |December 1, 1984
    PubMed
    Summary
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    Extra-abdominal desmoid tumors frequently recur, especially in women over 30 and in lower leg locations. Wide excision or marginal excision with radiation therapy is recommended to improve outcomes for these challenging tumors.

    Area of Science:

    • Oncology
    • Surgical Pathology
    • Orthopedic Oncology

    Background:

    • Extra-abdominal desmoid tumors are rare soft tissue neoplasms.
    • These tumors can affect various anatomical sites, with a predilection for the extremities.
    • Recurrence is a significant challenge in managing desmoid tumors.

    Purpose of the Study:

    • To analyze recurrence patterns and outcomes for patients with extra-abdominal desmoid tumors.
    • To identify risk factors associated with tumor recurrence.
    • To recommend optimal treatment strategies for desmoid tumors.

    Main Methods:

    • Retrospective review of 194 patients treated for extra-abdominal desmoid tumors at the Mayo Clinic.
    • Analysis of patient demographics, tumor location, treatment modalities, and recurrence data.

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  • Statistical evaluation of factors influencing tumor recurrence.

    • Main Results:

    • A high recurrence rate of 68% was observed at an average of 1.4 years post-treatment.
    • Recurrence was more common in female patients, those over 30 years old, and in specific locations like the foot and calf.
    • Intralesional or marginal excision was associated with a higher likelihood of recurrence compared to wide local excision.

    Conclusions:

    • Wide local excision is recommended when anatomically feasible to minimize recurrence.
    • For cases where wide excision compromises extremity function, marginal excision followed by postoperative radiation therapy is a viable option.
    • Asymptomatic recurrent lesions should be monitored, with secondary wide excision reserved for cases with documented growth.