A rare presentation of a large extra-abdominal desmoid tumor of the posterior neck and back

Abstract Objective To describe a difficult case of a large extra-abdominal desmoid fibroma of the posterior neck and back; to discuss the pathologic findings and treatment options of this case and to review the current literature for a rare presentation of this disease. Method A case report and revi...

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Bibliographic Details
Published in:American journal of otolaryngology 2013-11, Vol.34 (6), p.727-730
Main Authors: Chu, Katrina F, Samara, Mariah S., MD, Laver, Nora, MD, Wein, Richard O., MD, FACS
Format: Article
Language:English
Subjects:
Abdomen
Adult
Chemotherapy
Fibromatosis, Aggressive - pathology
Fibromatosis, Aggressive - surgery
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - surgery
Humans
Magnetic Resonance Imaging
Male
Morbidity
Muscle Neoplasms - pathology
Muscle Neoplasms - surgery
Neoplasm Invasiveness
NMR
Nuclear magnetic resonance
Otolaryngology
Paraspinal Muscles - pathology
Paraspinal Muscles - surgery
Surgery
Tumors
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Summary:Abstract Objective To describe a difficult case of a large extra-abdominal desmoid fibroma of the posterior neck and back; to discuss the pathologic findings and treatment options of this case and to review the current literature for a rare presentation of this disease. Method A case report and review of the current relevant English literature, carried out using PubMed Medline, are presented. Results We present a challenging case in which a locally invasive desmoid of the posterior neck and back had grown to such an extent that complete surgical excision in one procedure was not possible. Conclusion Extra-abdominal desmoid fibromas are rare tumors with multiple treatment options. The literature supports incomplete surgical resection when necessary to reduce postoperative morbidity. Further options described for residual or recurrent disease include repeat surgical excision, radiation therapy, and possible chemotherapy. For particularly large tumors, close observation and a planned second stage procedure are an appropriate choice.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2013.08.013