title: EXTRA-ABDOMINAL DESMOID TUMOR: LOCAL RECURRENCE AND TREATMENT OPTIONS.
abstract: OBJECTIVE
  To evaluate the rate of local recurrence of extra-abdominal desmoid tumor and compare the outcomes of surgical treatment and conservative treatment.
  
  
  METHODS
  Twenty one patients (14 women and seven men), mean age 33.0±8.7 years old, with a diagnosis of desmoid tumor were evaluated. The mean follow-up period was 58.5±29.0 months. Fourteen cases involved the lower limbs, four cases involved the upper limbs, and three cases involved the trunk. The average tumor size was 12.7±7.5 cm. Of the 21 patients, 14 did not undergo previous treatment and seven patients relapsed before the initial evaluation. Surgical treatment was performed in 16 patients and conservative treatment was performed in five patients.
  
  
  RESULTS
  Recurrence occurred in seven patients (33%) and six of them relapsed within the first 18 months. No significant difference was observed between conservative and surgical treatment. However, a significant difference was observed among patients undergoing wide resection and who experienced improved local control.
  
  
  CONCLUSIONS
  The recurrence rate of desmoid tumor was 33.3%. There was no difference in recurrence between conservative and surgical treatment. In surgical treatment, wide margins showed better results for recurrence control. Level of Evidence III. Retrospective Observational Study.
authors.affiliation: . Universidade Federal de Minas Gerais, Department of Orthopedics and Traumatology, Belo Horizonte, MG, Brazil.
authors.forename: Luiz Eduardo Moreira
authors.initials: LE
authors.lastname: Teixeira
authors.affiliation: . Universidade Federal de Minas Gerais, Department of Orthopedics and Traumatology, Belo Horizonte, MG, Brazil.
authors.forename: Eugênio Costa
authors.initials: EC
authors.lastname: Arantes
authors.affiliation: . Universidade Federal de Minas Gerais, Department of Orthopedics and Traumatology, Belo Horizonte, MG, Brazil.
authors.forename: Rafael Freitas
authors.initials: RF
authors.lastname: Villela
authors.affiliation: . Universidade Federal de Minas Gerais, Department of Orthopedics and Traumatology, Belo Horizonte, MG, Brazil.
authors.forename: Claudio Beling Gonçalves
authors.initials: CB
authors.lastname: Soares
authors.affiliation: . Universidade Federal de Minas Gerais, Department of Orthopedics and Traumatology, Belo Horizonte, MG, Brazil.
authors.forename: Roberto Bitarães De Carvalho
authors.initials: RB
authors.lastname: Costa
authors.affiliation: . Universidade Federal de Minas Gerais, Department of Orthopedics and Traumatology, Belo Horizonte, MG, Brazil.
authors.forename: Marco Antônio Percope De
authors.initials: MA
authors.lastname: Andrade
keywords: Fibromatosis, aggressive; Medical oncology; Recurrence