A giant desmoid neck tumor: a case report

Martí, Beatriz Pallarés; Oishi, Natsuki; Valdivieso, Lorena; Zapater, Enrique; Basterra, J

doi:10.1016/j.bjorl.2020.11.002

Cited by 5 publications

(6 citation statements)

References 10 publications

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“…Recurrences in the head and neck typically occur within the first two years after initial surgery but can happen anytime from a few months to over ten years later [ 2 , 19 ]. MRI is the preferred imaging modality for investigating disease extension and conducting follow-up examinations due to its superior soft tissue definition compared to computed tomography.…”

Section: Discussionmentioning

confidence: 99%

Extensive Lateral Cervical Desmoid Tumor Dependent on the Levator Scapulae Muscle Involving the Vertebral Artery Treated by Surgical Resection and Intraoperative Navigation: A Case Report and Review of the Literature

Ruiz de León,

Benito-Anguita,

Aranibar Meléndez

et al. 2024

Cureus

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Desmoid tumors are rare, benign, but locally aggressive fibromatoses that pose significant therapeutic challenges, particularly when located in the head and neck region. This report details the case of an extensive cervical desmoid tumor dependent on the levator scapulae muscle and involving the vertebral artery managed through surgical resection and intraoperative navigation. A 45-year-old male presented with a slowly growing cervical mass. Imaging revealed an 83x68x40 mm mass in the right lateral paravertebral space, dependent on the levator scapulae muscle and involving the vertebral artery. Biopsy confirmed a low-grade fusocellular myofibroblastic neoplasm consistent with a desmoid tumor. Given the poor prognosis associated with the symptomatic mass, surgical resection was performed using Brainlab intraoperative navigation (Brainlab, Munich, Germany). The procedure was successful, with preservation of vital structures and no evidence of recurrence postoperatively. Desmoid tumors in the head and neck region, though rare, require precise diagnostic and therapeutic approaches due to their aggressive nature and proximity to critical anatomical structures. The use of intraoperative navigation, in this case, facilitated accurate tumor resection, minimizing damage to surrounding tissues. Pathological analysis revealed a CTNNB1 gene mutation, specifically the S45P variant, which is associated with an increased risk of recurrence. This case highlights the importance of a multidisciplinary approach, incorporating advanced surgical techniques and genetic analysis, in the management of complex desmoid tumors. Intraoperative navigation proved invaluable in achieving successful surgical outcomes, underscoring its potential utility in similar cases. Continued follow-up is essential, given the potential for recurrence associated with desmoid tumors.

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Section: Discussionmentioning

confidence: 99%

Extensive Lateral Cervical Desmoid Tumor Dependent on the Levator Scapulae Muscle Involving the Vertebral Artery Treated by Surgical Resection and Intraoperative Navigation: A Case Report and Review of the Literature

Ruiz de León,

Benito-Anguita,

Aranibar Meléndez

et al. 2024

Cureus

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“…A secondary resection should be as thorough as possible without causing disability or mutilation to the patient. 8 Large initial tumor size, young patient age, and tumors located in the extremities or mesentery have been associated with increased postoperative recurrence. 13 , 14 Since total surgical excision would lead to mutilation in most cases, radiotherapy can be used for further treatment in individual patients.…”

Section: Discussionmentioning

confidence: 99%

“…However, DT's unpredictable behavior or cosmetic defects caused by DT traditionally require surgical resection. The tendency for infiltrative growth, lack of capsule, and proximity to critical anatomical structures pose a significant challenge for complete surgical removal in the head and neck region 2,3,8,9 . The effort to avoid mutilating or debilitating surgery often leads to positive margins and a high local recurrence rate.…”

Section: Discussionmentioning

confidence: 99%

“…In case of rapid recurrence, a timely re‐evaluation followed by secondary resection can be performed. A secondary resection should be as thorough as possible without causing disability or mutilation to the patient 8 . Large initial tumor size, young patient age, and tumors located in the extremities or mesentery have been associated with increased postoperative recurrence 13,14 .…”

Section: Discussionmentioning

confidence: 99%

“… 7 This genetically determined excessive benign cell proliferation combined with a margin‐negative resection (R0) being unlikely due to its infiltrative growth pattern, lack of capsule, and common localization near critical structures may be one of the causes of DT having a high probability of recurrence after surgery. 2 , 3 , 8 , 9 We present a salvage case of a DT located in the left posterior part of the neck managed by resection followed by radiotherapy.…”

Section: Introductionmentioning

confidence: 99%

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