title: Treatment and functional result of desmoplastic fibroma with repeated recurrences in the forearm: A case report.
abstract: Desmoplastic fibroma, alternatively known as aggressive fibromatosis or desmoid tumors, occurs in the form of benign locally aggressive tumors that possess a high rate of recurrence. The forearm bones are rarely involved. The current study presents a case of desmoplastic fibroma in the distal forearm of a 23-year-old man. The tumor was widely resected, and the bone defect was reconstructed using an autologous vascularized fibular graft during the resection procedure. The patient experienced recurrence three times and underwent four resections during the subsequent 3 years following the initial resection. After 10 years of follow-up, the patient's functional recovery remains positive. Despite the implication that surgical resection may be involved in the development of aggressive fibromatosis, surgical wide local excision and functional reconstruction were recommended for the treatment of the present patient.
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China; Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai 200040, P.R. China.
authors.forename: Jing
authors.initials: J
authors.lastname: Rui
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China.
authors.forename: Wenjie
authors.initials: W
authors.lastname: Guan
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China; Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai 200040, P.R. China.
authors.forename: Yudong
authors.initials: Y
authors.lastname: Gu
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China; Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai 200040, P.R. China.
authors.forename: Jie
authors.initials: J
authors.lastname: Lao
keywords: autologous fibular graft; desmoplastic fibroma; reconstruction surgery; repeated recurrences