Successful Management of Aggressive Fibromatosis of the Neck: A Case Report

Year 2018, Volume: 35 Issue: 3, 278 - 281, 01.05.2018

Özgür Mehmet Avinçsal Hirotaka Shinomiya Naoki Otsuki Ryohei Sasaki Ken-ichi Nibu

https://izlik.org/JA76KZ87CJ

Abstract

Background: Aggressive fibromatoses are histologically benign
fibrous neoplasms originating from musculoaponeurotic structures
throughout the body. They are locally invasive and erode adjacent
vital structures. The head and neck region constitutes 7-25% of all
extra-abdominal cases.
Case Report: Here, we report the case of a patient with aggressive
fibromatosis in the left side of the neck. While the tumor deeply
invaded the scalene muscles, the lesion was successfully treated by
surgery followed by radiotherapy. The patient has been disease free
for the last 7 years following treatment.
Conclusion: Due to its unusual location in the head and neck region,
aggressive fibromatosis should be considered in the differential
diagnosis of invading lesions of the neck

Keywords

Aggressive fibromatosis , head and neck , neoplasm , radiotherapy , surgery

References

• 1. Wang CP, Chang YL, Ko JY, Cheng CH, Yeh CF, Lou PJ. Desmoid tumor of the head and neck. Head Neck 2006;28:1008-13.
• 2. Nuyttens JJ, Rust PF, Thomas CR Jr, Turrisi AT. Surgery versus radiation therapy for patients with aggressive fibromatosis or desmoid tumors: a comparative review of 22 articles. Cancer 2000;88:1517-23.
• 3. Hoos A, Lewis JJ, Urit MJ, Shaha AR, Hawkins WG, Shah JP, et al. Desmoid tumors of the head and neck a clinical study of a rare entity. Head Neck 2000;22:814-21.
• 4. de Bree E, Zoras O, Hunt JL, Takes RP, Suárez C, Mendenhall WM, et al. Desmoid tumors of the head and neck: a therapeutic challenge. Head Neck 2014;36:1517-26.
• 5. Salas S, Dufresne A, Bui B, Blay JY, Terrier P, Ranchere-Vince D, et al. Prognostic factors influencing progression-free survival determined from a series of sporadic desmoid tumors: a wait and see policy according to tumor presentation. J Clin Oncol 2011;29:3553-8.
• 6. Janssen ML, van Broekhoven DL, Cates JM, Bramer WM, Nuyttens JJ, Gronchi A, et al. Meta-analysis of the influence of surgical margin and adjuvant radiotherapy on local recurrence after resection of sporadic desmoid-type fibromatosis. Br J Surg 2017;104:347-57.
• 7. Cates JM, Stricker TP. Surgical resection margins in desmoid-type fibromatosis: a critical reassessment. Am J Surg Pathol 2014;38:1707-14.
• 8. Mendenhall WM, Zlotecki RA, Morris CG, Hochwald SN, Scarborough MT. Aggressive fibromatosis. Am J Clin Oncol 2005;28:211-5.
• 9. Lee JC, Thomas JM, Phillips S, Fisher C, Moskovic E. Aggressive fibroma-tosis: MRI features with pathologic correlation. AJR Am J Roentgenol 2006;186:274-54.
• 10. Eastley N, McCulloch T, Esler C, Hennig I, Fairbairn J, Gronchi A, et al. Extra abdominal desmoid fibromatosis: A review of management, current guidance and unanswered questions. Eur J Surg Oncol 2016;42:1071-83.