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April 1997

Desmoid Tumor (Fibromatosis) of the Breast: A Clinician's Dilemma—A Case Report and Review

Author Affiliations

From the Departments of General Surgery (Drs Ng, Lee, and Wong) and Pathology (Dr Poh), Singapore General Hospital, Singapore.

Arch Surg. 1997;132(4):444-446. doi:10.1001/archsurg.1997.01430280118021

Desmoid tumor of the breast is a clinician's dilemma as it is difficult to differentiate it from carcinoma clinically, mammographically, and cytologically. Histologically, it must be distinguished from fibrosarcoma. Current management favors wide excision with clear margins. Recurrence is relatively common and usually occurs within 3 years of excision. Adjuvant hormonal therapy does not reduce local recurrence rates; evidence indicates that postoperative radiotherapy can improve the 10-year recurrence-free survival rate.

Arch Surg. 1997;132:444-446