medigraphic.com

2008, Number 6

<< Back Next >>

Cir Cir 2008; 76 (6)

Tumor desmoide de la pared torácica. ¿Tratamiento quirúrgico o multimodal?

Mier-Odriozola JM, López-Rodó LM, Fibla-Alfara JJ, Vidal-López G

Language: Spanish
References: 10
Page: 507-509
PDF size: 73.84 Kb.


ABSTRACT

Background: Desmoid tumors are extremely rare soft tissue tumors originating in the musculoaponeurotic layer. Due to their inability to metastasize, they are considered as benign tumors. Their aggressive local growth has been described, necessitating aggressive and comprehensive surgical treatment.
Clinical case: We present the case of a 47-year-old Pakistani woman with a history of two previous surgical procedures in the same region as the neural tumor. A mass that invaded the lower costal right chest wall was diagnosed. We performed a complete resection and repaired the defect with prosthetic material. Final diagnosis was desmoid tumor.
Conclusions: Complete resection is the first line treatment. Radiotherapy is only used for incomplete resection, unresectable tumor and for severe pain.


REFERENCES

  1. León P, Alix A. Tumor desmoide de la pared torácica. Archiv Bronconeumol 2002;38:603-604.

  2. Abbas AE, Deschamps C, Cassivi SD, Nichols FC 3rd, Allen MS, Schleck CD, et al. Chest wall desmoid tumors: results of surgical intervention. Ann Thorac Surg 2004;78:1219-1223.

  3. Allen PJ, Shriver CD. Desmoid tumors of the chest wall. Semin Thoracic Cardiovasc Surg 1999;11:264-269.

  4. Kabiri EH, Aziz SA, El Maslout A, Benosman A. Desmoid tumors of the chest wall. Eur J Cardiothoracic Surg 2001;19:580-583.

  5. Pairolero PC, Arnold PG. Chest wall tumors. Experience with 100 consecutive patients. J Thorac Cardiovasc Surg 1985;90:367-372.

  6. Okuno SH, Edmonson JH. Combination chemotherapy for desmoid tumors. Cancer 2003;97:1134-1135.

  7. Izes JK, Zinman LN, Larsen CR. Regression of large pelvic desmoid tumors by tamoxifen and sunlindac. Urology 1996;47:756-759.

  8. Kilciksiz S, Gökçe T, Somali I, Duransoy A, Aydin A, Yigit S. Combined administration of ethodolac, ascorbic acid and radiotherapy as adjuvant therapies in an extrathoracic desmoid tumor with gross postoperative residual disease; case report and review of the literature. J BUON 2006;11:355-358.

  9. Gronchi A, Casali PG, Mariani L, Lo Vullo S, Colechia M, Lozza L, et al.Quality of surgery and outcome in extra-abdominal aggressive fibromatosis in a series of patients surgically treated at a single institution. J Clin Oncol 2003;21:1390-1397.

  10. Radermecker MA, Nelissen X, Bous A, Kerzmann A, De Leval L, Ghaye B, et al. Surgical treatment of chest wall tumors. Rev Med Liege 2006; 61(11):771-774.




2020     |     www.medigraphic.com