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Soft-tissue desmoid tumors: radiographic bone changes.

D Abramowitz, J Zornoza, A G Ayala

    Radiology
    |January 1, 1983
    PubMed
    Summary
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    Desmoid fibromatosis can affect adjacent bones, causing erosion and periosteal reactions. This aggressive tumor type shows a high local recurrence rate in affected patients.

    Area of Science:

    • Orthopedic Oncology
    • Skeletal Radiology
    • Soft Tissue Tumors

    Background:

    • Desmoid fibromatosis, a rare fibroblastic tumor, can exhibit locally aggressive behavior.
    • Tumoral involvement of adjacent bone is an uncommon but significant manifestation.
    • Understanding the radiological patterns and clinical outcomes is crucial for patient management.

    Purpose of the Study:

    • To investigate the radiological patterns of bone abnormalities in patients with desmoid fibromatosis.
    • To evaluate the association between bone involvement and local recurrence.
    • To characterize the behavior of desmoid fibromatosis with adjacent bone involvement.

    Main Methods:

    • Retrospective review of 132 patients with desmoid fibromatosis (fibrosarcoma grade I desmoid type).

    Related Experiment Videos

  • Detailed analysis of radiological findings in 8 patients with tumor in the extremities and adjacent bone abnormalities.
  • Correlation of radiological patterns with local recurrence rates.

    • Main Results:

    • Eight out of 132 patients (6%) showed abnormalities in adjacent bones.
    • Radiological findings included bone erosion and a "frondlike" periosteal reaction.
    • Five of these 8 patients (62.5%) experienced local recurrence.

    Conclusions:

    • Desmoid fibromatosis with adjacent bone involvement presents distinct radiological features.
    • Bone erosion and periosteal reaction in desmoid fibromatosis indicate locally aggressive behavior.
    • Patients with bone involvement have a higher risk of local recurrence, necessitating close monitoring.