Multifocal extra-abdominal desmoid tumor--diagnostic and therapeutic problems.
The case of an 18-year-old girl is described who 1 year after surgical stabilisation of a spine injury developed a multifocal desmoid tumor in the scar region and another at a distance away from the scar in the area of the left scapula. After nononcological resection of both tumors subsequent diagnosis with magnetic resonance imagins (MRI) showed a questionable recurrence only in the scar; positron emission tomography failed to elucidate the local situation. Because a radical re-resection would mean mutilation, and local radiation may damage the spinal cord, a 'wait-and-see' strategy was chosen for further follow-up.
BG Trauma Hospital Tübingen, Germany.
F
F
Maurer
F
F
Horst
C
C
Pfannenberg
M
M
Wehrmann
D000293:Adolescent; D002921:Cicatrix; D003952:Diagnostic Imaging; D016267:External Fixators; D005260:Female; D018222:Desmoid Tumors / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries*; D011183:Postoperative Complications / Q000175:diagnosis*; D011859:Radiography; D012540:Scapula; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*