Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Introduction. Grade I desmoid tumor is an uncommon pathology where treatment was the surgery as first option, but its post-surgical recurrence tends to obscure satisfactory evolution due to these kinds of tumors have to compromise deep layers, and there are cases where patients needed amputation of their arms or legs without any success; therefore, it causes a huge psychological impact in the patients and their prognosis. Clinical case. An eighteen-year old male presented with a mass in the distal portion of the left arm. In Italy, he had a surgical resection, and the sample was positive for a desmoid tumor, presenting several recurrences years later. Histological studies reports recurrence of desmoid tumor. Is currently in follow-up with tomographic controls. Discussion. The desmoid tumor lacks metastatic potential, with a very aggressive local behavior, the imaging techniques allow its differential diagnosis of other tumors that affect the soft tissues, and its definitive diagnosis is with biopsy and its histopathological study. In summary, our eighteen-year old patient’s diagnose was a desmoid tumor on his left arm, presenting several recurrences after several exeresis of the same, it should be emphasized that this type of tumor has a high rate of recurrence even after a complete tumor resection. Thus, surgery is not indicated as first-line of treatment, so it´s recommended expectant treatment based on the O-E strategy (Observe-Wait). When the patient was referred to Hospital de Especialidades Carlos Andrade Marin, the doctors decided to continue with observational management. As recommended by the latest treatment guidelines.
Kasper B. Systemic treatment approaches for sporadic desmoid-type fibromatosis: scarce evidence and recommendations. Oncol Res Treat. 2015;38(5):244-8. DOI: 10.1159/000381909. Epub 2015 Apr 16. Review. PubMed PMID: 25896775.
Ravi, V., Patel, S., Raut, C., DeLaney, T. Desmoid tumors: Epidemiology, risk factors, molecular pathogenesis, clinical presentation, diagnosis, and local therapy. UpToDate. 2016.
Salazar SP, Lárraga CA, Moya EL. Caso clínico: Tumor fibroso de la pleu- ra. Quito: Universidad San Francisco de Quito. Revista CIEZT Clínica & Cirugía. 2014;12(1):9-13. Disponible en: http://repositorio.usfq.edu.ec/bitstream/23000/3307/2/110778 %282 %29. pdf
Słowik-Moczydłowska Ż, Rogulski R, Piotrowska A, Małdyk J, Kluge P, Ka- miński A. Desmoid tumor of the pancre- as: a case report. J Med Case Rep. 2015 May 6;9:104. DOI: 10.1186/s13256-015-0591-y. PubMed PMID: 25943401; PubMed Central PMCID: PMC4437747.
Ryan C, Meyer J. Clinical presentation, histopathology, diagnostic evaluation, and staging of soft tissue sarcoma. UpToDate. 2016.
MacDonald BT, Tamai K, He X. Wnt/ beta-catenin signaling: components,mechanisms, and diseases. Dev Cell. 2009 Jul;17(1):9-26. DOI: 10.1016/j.dev-cel.2009.06.016. Review. PubMed PMID: 19619488; PubMed Central PMCID: PMC2861485.
Gómez Pedraza A, Padilla Rosciano A, Herrera Gómez A, León Takahashi AM. [Giant desmoid tumour of the abdomi- nal wall during a delayed puerperium]. Cir Esp. 2011 Nov;89(9):624-6. DOI: 10.1016/j.ciresp.2011.01.006. Epub 2011 Mar 5. Spanish. PubMed PMID: 21377662.
Xu H, Koo HJ, Lim S, Lee JW, Lee HN, Kim DK, Song JS, Kim MY. Des- moid-Type Fibromatosis of the Thorax: CT, MRI, and FDG PET Characteris- tics in a Large Series From a Tertiary Referral Center. Medicine (Baltimore). 2015 Sep;94(38):e1547. DOI: 10.1097/ MD.0000000000001547. PubMed PMID: 26402812; PubMed Central PMCID: PMC4635752.
Ravi, V, Patel, S. Desmoid tumors: Sys- temic therapy. UpToDate. 2016.
Delaney, T. Antineoplastic therapy for miscellaneous benign diseases affecting soft tissue and bone. UpToDate. 2016.
Valejo Fernando., Guimarães Tiezzi., Alborguetti Gisele., Tumor desmoide ab- dômino-pélvico. Adominopelvic desmoid tumor, Relato de caso. Rev Bras Ginecol Obstet.2009; 31(1):35-40. Disponible en: http://www.scielo.br/pdf/rbgo/v31n1/ v31n1a07.pdf
MA. Gonzáleza, R. Menéndeza, JM. Ayalaa, M. Herreroa, J. Cuestaa, A. Domíngueza, M. Martíneza, JL. Grañaa, F. Pozoa. Tumor desmoide intrabadom- inal. ELSEVIER.Cirugía Española. Vol. 77. Núm. 6. Junio 2005, 313:371 DOI: 10.1016/S0009-739X(05)70872-1
Peterschulte G, Lickfeld T, Möslein G. [The desmoid problem]. Chirurg. 2000 Aug;71(8):894-903. Review. German. PubMed PMID: 11013808.
Sharma A, Ngan BY, Sándor GK, Campisi P, Forte V. Pediatric aggressive fibromatosis of the head and neck: a 20-year retrospective review. J Pediatr Surg. 2008 Sep;43(9):1596-604. doi: 10.1016/j.jpedsurg.2008.02.001. Review. PubMed PMID: 18778992.
Bhat D, Wear V, Weisenberg E, Alvara- do R. Desmoid-type fibromatosis of the breast: A case report. Breast Dis. 2016;36(4):149-152. doi: 10.3233/BD-160227. PubMed PMID: 27612042.
Machado V, Troncoso S, Mejías L, Ido- ate MÁ, San-Julián M. Risk factors for local recurrence of fibromatosis. Rev Esp Cir Ortop Traumatol. 2017 Mar - Apr;61(2):82-87. doi: 10.1016/j.re- cot.2016.12.001. Epub 2017 Feb 21. En- glish,Spanish. PubMed PMID: 28233659.
Umer M, Saeed J, Zahid N. Aggres- sive fibromatosis in pediatric popula- tion-A case series. Int J Surg Case Rep. 2018 Oct 4;52:45-48. doi: 10.1016/j. ijscr.2018.09.032. [Epub ahead of print] PubMed PMID: 30316134; PubMed. Central PMCID: PMC6187009.
Wehrli BM, Weiss SW, Yandow S, Coffin CM. Gardner-associated fibromas (GAF) in young patients: a distinct fibrous le- sion that identifies unsuspected Gardner syndrome and risk for fibromatosis. Am J Surg Pathol. 2001 May;25(5):645-51. PubMed PMID: 11342777.
Seijas-Jerónimo Rosario, Guzmán-Hi- dalgo Miriam, Guerra-GonzálezGail Liz- et, Fuentes-Seijas María y Díaz-Izarra Antonio J. Tumor desmoide: Reporte de caso. Revista médica. 2015 7(1):38-42pp. ISSN: 2007-2953. Disponible en: www. revistamedicamd.com
Wang W, Koirala U, Ma S, Liu G, Ding M, Hu X, Lei D. Age-based treatment of aggressive fibromatosis in the head and neck region. J Oral Maxillofac Surg. 2014 Feb;72(2):311-21. doi: 10.1016/j. joms.2013.07.021. PubMed PMID: 24438598.
Tsagozis P, Stevenson JD, Grimer R, Carter S. Outcome of surgery for pri- mary and recurrent desmoid-type fibromatosis. A retrospective case series of 174 patients. Ann Med Surg (Lond). 2017 Mar 22;17:14-19. doi: 10.1016/j.amsu.2017.03.023. eCollection 2017 May. PubMed PMID: 28386395; PubMed Central PMCID: PMC5374757
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