| ORIGINAL ARTICLE |
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| Year : 2009 | Volume
: 46
| Issue : 1 | Page : 34-39 |
Desmoid tumors: Experience of 32 cases and review of the literature
V Kumar1, S Khanna2, AK Khanna2, R Khanna2
1 Department of Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221 005, UP, India
2 Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221 005, UP, India
Correspondence Address:
V Kumar
Department of Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221 005, UP
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-509X.48593
Background: Desmoids are infiltrative, locally destructive, soft tissue tumors. Although they do not metastasize, the incidence of local recurrence is quite high. Aim : Present study aimed at reporting the 10-year experience of 32 desmoid cases and reviewing some facts with symptoms, investigation, and treatment of the disease. Materials and Methods : Thirty two cases of desmoid tumors were reviewed over a 10-year span. Surgical resection and adjuvant radiotherapy were the treatments of choice whenever histological margins were positive . Results : Multiparous women in reproductive age were the most commonly afflicted. The commonest site of presentation was the abdominal wall. Ninety one percent (20/22) were infraumbilical. The tumors were found in the rectus sheath in 14 patients (64%) and were laterally situated in 8 patients (36%). Local infiltration was found in six patients and the urinary bladder was most commonly involved (3/6). Locally recurrent desmoids were seen in eight patients (25%). Conclusions : In our experience, 25% of the desmoid tumors (8/32) were recurrent and postoperative radiotherapy did not seem to influence the local recurrence rate. The most important predictor for recurrence was tumors of >5 cm.
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