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November 1983

The Desmoid Tumor: IV. Choice of Treatment, Results, and Complications

Author Affiliations

From the Transplantation Laboratory and Fourth Department of Surgery, University of Helsinki.

Arch Surg. 1983;118(11):1318-1322. doi:10.1001/archsurg.1983.01390110066014

• We analyzed the results of treatment in 89 cases of desmoid tumor (DT) with a follow-up period of 9.3±5.9 years. After surgical removal, the frequency of recurrence was equal, regardless of whether a complete removal of the tumor was obtained or not. After combined operation and radiotherapy, recurrence was higher. A higher frequency of recurrences was observed in extraabdominal (45%) v abdominal (10%) DTs. Recurrence was particularly high in the juvenile variety (70%), and low in the DTs of fertile women (11%). If a recurrence followed the first operation, multiple recurrences were the rule. Spontaneous regression was observed in 4% of the cases. The results emphasize that the basic biologic characteristics of this rare neoplasm have a greater impact on the results than the operation itself. A simple excision at the primary operation is recommended.

(Arch Surg 1983;118:1318-1322)

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