Evaluation of Desmoid-type Chest Wall Tumors: A Single Center Experience

Authors : Kadri Ceberut, Burak Hasgül

Pages : 198-204

Doi:10.52827/hititmedj.1610954

View : 51 | Download : 47

Publication Date : 2025-06-23

Article Type : Research Paper

Abstract :Objective: While chest wall desmoid-type tumors are rare, they do pose significant challenges in their management due to their high rate of recurrence. The purpose of this study is to evaluate our clinical experience of these tumors while reviewing the relevant literature. Materials and Methods: A retrospective study was conducted of patients diagnosed with desmoid-type chest wall tumors who underwent surgery at Gaziosmanpasa University Faculty of Medicine between 2007 and 2022. While all patients underwent surgical management, two patients received radiotherapy after their second recurrence. Demographic findings, clinical features, operative methods, local recurrences, and follow-up criteria were recorded as part of the study. Gastroscopies and colonoscopies were performed on all patients to exclude Gardner syndrome. Results: Five of the patients in our study were female and one was male, which represented 16.6% of the group. The age range of the study group was between 14 and 76 years old. The recurrence rate was 33.3%, with two patients experiencing three tumor recurrences who received radiotherapy between the second and third recurrences. One patient, who still had a tumor, died due to a myocardial infarction. We did not observe any major complications in the other patients. All of the patients under follow-up are still alive. Conclusion: While the primary goal of the treatment should be to perform as wide a resection as possible, this is insufficient for the prediction or prevention of recurrences, and close follow-up is necessary for the management of locally invasive tumors.
Keywords : Agresif fibromatozis, desmoid tümörler, epidemiyoloji, torasik cerrahi, yumuşak doku tümörü

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