Authors: Duggal, Amit¹; Dickinson, Ian²; Sommerville, Scott¹; Gallie, Price¹

Source: International Orthopaedics, Volume 28, Number 4, August 2004 , pp. 252-256(5)

Publisher: Springer

Abstract:

We performed a retrospective analysis of 35 cases of desmoid tumours (aggressive fibromatoses) that underwent treatment at our institutions between 1987 and 2002. The purpose was to evaluate the rate of local recurrence of desmoid tumours treated with surgical excision, to assess the impact of surgical margins on local recurrence and to define the role of radiotherapy in the treatment. Nine patients experienced a recurrence at an average of 16 months after initial treatment. Seven of the 15 patients with a less<?xm-insertion_mark_start author="Thompson" time="20040524T215724+0100"?>-<?xm-insertion_mark_end?><?xm-deletion_mark author="Thompson" time="20040524T215723+0100" data=" "?>than<?xm-insertion_mark_start author="Thompson" time="20040524T215726+0100"?>-<?xm-insertion_mark_end?><?xm-deletion_mark author="Thompson" time="20040524T215726+0100" data=" "?>wide margin<?xm-deletion_mark author="Thompson" time="20040524T215728+0100" data=","?> had a local recurrence. Comparatively, only two of the 20 patients with a wide margin had a local recurrence. Thirty-three of the 35 patients were disease free at the last follow-up. We recommend wide excision with clear margins whenever possible. Marginal resections are appropriate when wide excision would severely compromise the function of the limb. Surgical resections and selective supplementation of adjuvant radiotherapy give excellent control rates.

Document Type: Research article

DOI: http://dx.doi.org/10.1007/s00264-004-0571-0

Affiliations: 1: Department of Orthopaedic Surgery, Princess Alexandra Hospital and The Wesley Medical Centre, 40 Chasely Street, Auchenflower, Brisbane, 4066, Australia, 2: Department of Orthopaedic Surgery, Princess Alexandra Hospital and The Wesley Medical Centre, 40 Chasely Street, Auchenflower, Brisbane, 4066, Australia, Email: iand@wesley.com.au

Publication date: 2004-08-01

Related content

• In this: publication
• By this: publisher
• In this Subject: Medicine ,  Public Health
• By this author: Duggal, Amit ;  Dickinson, Ian ;  Sommerville, Scott ;  Gallie, Price

Website © Publishing Technology. Article copyright remains with the publisher, society or author(s) as specified within the article.

• Terms and conditions
• Privacy policy
• Information for advertisers