Abstract
Following surgical excision alone, local recurrences occur in 27–57 percent of cases of desmoid — aggressive fibromatosis. Radiation therapy in doses of 5000–6000 rad decreases local recurrence rates. Normal tissue tolerance may be limiting for the total dose of external beam radiation; therefore either post-operative brachytherapy or brachytherapy following external beam may be used. Regression rates may occur from eight months to two years following treatment. Desmoid — aggressive fibromatosis may occur in association with Gardner’s syndrome and pregnancy. A seventy percent local control rate has been reported with external radiation. In the national survey eighty-two percent of radiation oncologists would treat desmoid — aggressive fibromatosis.
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References
Assad WA, Nori D, Hilaris BS, Shiu MH and Hajdu SI (1986) Role or brachytherapy in the management of desmoid tumors. Int J Radiation Oncology Biol Phys 12 :901–906.
Khorsand J and Karakousis CP (1985) Desmoid tumors and their management. Am J Surg 149 :215–218.
Reitamo JJ (1983) The desmoid tumor IV. Choice of treat-ment results and complications. Arch Surg 118 :1318–1322.
Leibel SA, Wara WM, Hill DR, Bovill EG, DeLorimer AA, Beckstead JH and Phillips TL (1982) Desmoid tumors: Local control and patterns of relapse following radiation therapy. Int J Radiation Oncol Biol Phys 9 :1167–1171.
Greenberger HM, Goebel R, Weichselbaum RR, Greenberger JS, Chaffey JT and Cassady JR (1981) Radiation therapy in treatment of aggressive fibromatosis. Int J Radiation Oncol Biol Phys 7: 305–310.
Abadir R (1976) Desmoid tumor associated with cystosar-coma phylloides of the breast. J Surg Onco1 8: 43–48.
Suit HD and Russell WO (1975) Radiation therapy of soft tissue sarcomas. Cancer 36 :759–764.
Hill DR, Newman H and Phillips TL (1973) Radiation therapy of desmoid tumors. Am J Roent Rad Ther Nucl 17 :84–89.
Gaches C and Burke J (1971) Desmoid tumor (fibroma of the abdominal wall) occurring in siblings. Br J Surg 58 :495–498.
Brasfield RD and Das Gupta TK (1969) Desmoid tumors 19. of the anterior abdominal wall. Surgery 65 :241–246.
Cole NM and Guiss LW (1969) Extra-abdominal desmoid tumors. Arch Surg 98 :530–533.
Enzinger FM and Shiraki M (1967) Musculo-aponeurotic fibromatosis of the shoulder girdle (extra-abdominal desmoid). Cancer 20 :1131–1140.
Masson JK and Soule EH (1966) Desmoid tumors of the head and neck. Am J Surg 112 :615–622.
Rosen RS and Kimball W (1966) Extra-abdominal desmoid tumor. Radiology 86 :534–540.
Benninghoff D and Robbins R (1964) The nature and treatment of desmoid tumors. Am J Roent Rad Ther Nucl Med 91 :132–137.
Dahn I, Jonsson N and Lundh G (1963) Desmoid tumors. Acta Chir Scand 126 :305–314.
Soule EH and Scanlon PW (1962) Fibrosarcoma arising in an extra-abdominal desmoid tumor: Report of a case. Staff Meetings of the Mayo Clinic 37 :443–451.
Gonatas NK (1961) Extra-abdominal desmoid tumors. Arch Path 71 :214–221.
Hunt RT, Morgan HC and Ackerman LV (1960) Principles in the management of extra-abdominal tumors. Cancer 13 :825–836.
Musgrove JE and McDonald JR (1948) Extra-abdominal desmoid tumors. Arch Path 45 :513–540.
Pack GT and Ehrlich HE (1944) Neoplasms of the anterior abdominal wall with special consideration of desmoid tumors. Int Abst Surg 79 :177–198.
Ketchum LD and Hixson FP (1987) Dermofasciectomy and full-thickness grafts in the treatment of Dupuytren’s contracture. J Hand Surg Am 12 :659–664.
Schneider LD, Hankin FM and Eisenberg T (1986) Surgery of Dupuytren’s disease: A review of the open palm method. J Hand Surg Am 11 :23–27.
Matton G and Beck F (1982) Our experience with 186 operated Dupuytren hands. Comparison of two techniques. Acta Orthop Belg 48 :775–793.
Robbins TH (1981) Dupuytren’s contracture: The deferred z-plasty. Ann R Coll Surg Engl 63 :357–358.
Tubiana R, Fahrer M and McCullough CJ (1981) Recurrence and other complications in surgery of Dupuytren’s contracture. Clin Plast Surg 8 :45–50.
Orlando JC, Smith JW and Goulian D (1974) Dupuytren’s contracture: A review of 100 patients. Br J Plast Surg 27 :211–217.
Viganto JA (1973) Dupuytren’s contracture: A review. Semin Arthritis-Rheum 3 :155–176.
Quetglas J (1972) Dupuytren’s disease. Comments on 80 cases operated on. Acta Chir Plast 14 :244–254.
Honner R, Lamb DW and James JIP (1971) Dupuytren’s contracture. Long term results after fasciectomy. J Bone & Joint Surg Am 53 :240–246.
McFarlane RM and Jamieson WG (1966) Dupuytren’s contracture. The management of one hundred patients. J Bone & Joint Surg Am 48 :1095–1125.
Webb-Jones A (1965) Dupuytren’s contracture. The results of radical fasciectomy. Br J Plast Surg 18 :377–384.
Finney R (1955) Dupuytren’s contracture. Br J Rad 28 :610–614.
Finney R (1953) Dupuytren’s contracture. Lancet 2 :1064–1066.
Skoog TS (1948) Dupuytren’s contracture with special reference to etiology and improved surgical treatment; its occurence in epileptics; note on knuckle-pads. Acta Scand 96 :1–190.
Beatty SR (1938) Roentgen therapy of Dupuytren’s contracture. Rad 30 :610–612.
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Order, S.E., Donaldson, S.S. (1990). Desmoid-Aggressive Fibromatosis. In: Radiation Therapy of Benign Diseases. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97160-0_4
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DOI: https://doi.org/10.1007/978-3-642-97160-0_4
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