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A Clinician's Dilemma—A Case Report and Review

Wai-Hoe Ng, MB, BS; Joy S-Y Lee, MB, BS, FRCS(Edin); Wee-Teng Poh, MB, BS, MRCPPath; Chow-Yin Wong, MB, BS, FRCS(Edin), FRCS(Glas)

Arch Surg. 1997;132(4):444-446.

Abstract
Desmoid tumor of the breast is a clinician's dilemma as it is difficult to differentiate it from carcinoma clinically, mammographically, and cytologically. Histologically, it must be distinguished from fibrosarcoma. Current management favors wide excision with clear margins. Recurrence is relatively common and usually occurs within 3 years of excision. Adjuvant hormonal therapy does not reduce local recurrence rates; evidence indicates that postoperative radiotherapy can improve the 10-year recurrence-free survival rate.

Arch Surg. 1997;132:444-446

Author Affiliations
From the Departments of General Surgery (Drs Ng, Lee, and Wong) and Pathology (Dr Poh), Singapore General Hospital, Singapore.

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