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Sporadic desmoid tumors of the abdominal wall: the results of surgery

Abstract

Purpose

Before the wait-and-see policy became the standard approach in abdominal wall desmoid tumors, surgery was performed on a systematic basis. Surgery remains indicated for progressing tumors but its extent is debatable. The abdominal wall is a common site of origin of sporadic desmoids, usually associated with a favorable prognosis. We analyzed the results of surgery at this specific site.

Methods

Data from 33 patients affected by sporadic desmoid tumors of the abdominal wall (31 primary, 2 recurrent) consecutively treated at our cancer center between January 2000 and September 2013 were retrospectively studied.

Results

Twenty-nine patients underwent surgery upfront and 1 after progression during the initial wait-and-see period. Prosthetic reconstruction of the abdominal wall was required in 28 patients. The average hospital stay was 5 days. Three patients developed surgical complications. Local recurrence-free survival was 90% at 5 and 10 years. Three patients had an uneventful childbirth during the follow-up after surgery.

Conclusions

Desmoid tumors of the abdominal wall have a favorable prognosis after surgical resection, which remains a safe and effective treatment. Wild-type tumors are common, whereas the incidence of S45F mutation in the beta-catenin gene is lower than in other anatomic sites. Upfront surgery may be considered in selected women who wish to bear a child.

Tumori 2016; 102(6): 582 - 587

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/tj.5000552

Authors

Chiara E. Mussi, Piergiuseppe Colombo, Chiara Lo Russo, Anaid Kasangian, Ferdinando Cananzi, Andrea Marrari, Emanuela Morenghi, Rita De Sanctis, Vittorio Quagliuolo

Article History

Disclosures

Financial support: None.
Conflict of interest: The authors declare they have no conflict of interest related to this article.

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Authors

Affiliations

  • Department of Surgical Oncology, Humanitas Clinical and Research Center, Milan - Italy
  • Department of Pathology, Humanitas Clinical and Research Center, Milan - Italy
  • Department of Oncology, Humanitas Clinical and Research Center, Milan - Italy
  • Department of Statistics, Humanitas Clinical and Research Center, Milan - Italy

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