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IV. Choice of Treatment, Results, and Complications

Jyrki J. Reitamo, MD

Arch Surg. 1983;118(11):1318-1322.

Abstract
• We analyzed the results of treatment in 89 cases of desmoid tumor (DT) with a follow-up period of 9.3±5.9 years. After surgical removal, the frequency of recurrence was equal, regardless of whether a complete removal of the tumor was obtained or not. After combined operation and radiotherapy, recurrence was higher. A higher frequency of recurrences was observed in extraabdominal (45%) v abdominal (10%) DTs. Recurrence was particularly high in the juvenile variety (70%), and low in the DTs of fertile women (11%). If a recurrence followed the first operation, multiple recurrences were the rule. Spontaneous regression was observed in 4% of the cases. The results emphasize that the basic biologic characteristics of this rare neoplasm have a greater impact on the results than the operation itself. A simple excision at the primary operation is recommended.

(Arch Surg 1983;118:1318-1322)

Author Affiliations
From the Transplantation Laboratory and Fourth Department of Surgery, University of Helsinki.

Footnotes
Accepted for publication April 29, 1983.

Deceased.

Reprint requests to Transplantation Laboratory, University of Helsinki, Haartmaninkatu 3, SF 00290, Helsinki 29, Finland (Pekka Häyry, MD).

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