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The Journal of Bone and Joint Surgery, Vol 66, Issue 9 1369-1374, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc
Extra-abdominal desmoid tumors
MG Rock, DJ Pritchard, HM Reiman, EH Soule and RC Brewster
One hundred and ninety-four patients with extra-abdominal desmoid tumors,
most of them in the extremities, have been treated at the Mayo Clinic. One
hundred and thirty-two patients (68 per cent) experienced a recurrence at
an average of 1.4 years after the first treatment. A greater tendency for
recurrence was evident in female patients, in patients who were more than
thirty years old, in certain anatomical locations (especially the foot and
calf), and most importantly after treatment by intralesional or marginal
excision. In view of the excellent prognosis for survival, we recommend
wide local excision when anatomically feasible or marginal excision and
postoperative radiation therapy when function of the extremity would be
severely compromised if excision with wide margins were done. A recurrent
lesion that does not appear to be growing should be followed until evidence
of growth of the lesion precipitates a secondary wide excision.
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