The role of APC and beta-catenin in the aetiology of aggressive fibromatosis (desmoid tumors)

• Published in: European journal of surgical oncology 2009-01, Vol.35 (1), p.3-10
• Main Authors: Lips, D.J, Barker, N, Clevers, H, Hennipman, A
• Format: Article
• Language: English
• Subjects: adenomatous polyposis coli; Adenomatous Polyposis Coli Protein - genetics; Adenomatous Polyposis Coli Protein - metabolism; beta Catenin - genetics; beta Catenin - metabolism; desmoid tumor; fibromatosis, aggressive; Fibromatosis, Aggressive - genetics; Fibromatosis, Aggressive - metabolism; Fibromatosis, Aggressive - pathology; Gene Expression Regulation, Neoplastic; Genes, APC; Hematology, Oncology and Palliative Medicine; Humans; Mutation; Signal Transduction - genetics; Surgery; β-catenin
• ISSN: 0748-7983; 1532-2157
• DOI: 10.1016/j.ejso.2008.07.003

Abstract Background Aggressive fibromatosis (syn. desmoid tumor) is a sporadically occurring neoplastic proliferation of fibroblasts originating from musculoaponeurotic planes, forming invasively growing masses without the capability to metastasize. The choice of treatment remains surgical resection with or without radiotherapy, and is characterized by high recurrence rates. Better understanding of the aetiology of aggressive fibromatosis is needed to be able to develop new treatment strategies to cope with the high recurrence rates. Methods Relevant studies were identified through a search of the electronic databases PubMed/ Medline. The following search terms were used: ‘aggressive fibromatosis’, ‘desmoid tumor’, ‘adenomatous polyposis coli’, ‘APC’, ‘beta-catenin’, ‘Wnt’, ‘Wingless’ and ‘Wnt/Wingless’. Studies were selected for review on the basis of abstract reading. A hand search was performed by checking reference lists in selected articles. Results The neoplastic nature of aggressive fibromatosis and the role of the adenomatous polyposis coli (APC) and β-catenin signaling cascade in driving the onset and progression of this disease are discussed. Conclusion Mutations in either the APC or β-catenin genes are likely to be a major driving force in the formation of these desmoid tumors. More research is needed to develop new treatment strategies.