Desmoid Type Fibromatosis in the Facet Joint of Lumbar Spine: Case Report and Review of Literature

Kim, So Jung; Ha, Doo Hoe; Lee, Sang Min; Kang, Haeyoun

doi:10.3348/kjr.2013.14.5.818

Cited by 4 publications

(5 citation statements)

References 21 publications

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“…The area of band-shaped low SI on T1WI was usually not enhanced on the T1WI enhanced scan, corresponding to the dense fibrous tissue and scar-like collagen deposition area, and the results were similar to those studied by Xu et al (12). After injection of the contrast agent, the lesion was moderately to markedly enhanced, particularly in the concentration area of the tumor cells, while the stromal area exhibited mild enhancement and the results were similar to those studied by Kim et al (27). The T2WI SI was associated with the number of tumor cells in the collagen matrix (27).…”

Section: Discussionsupporting

confidence: 87%

“…After injection of the contrast agent, the lesion was moderately to markedly enhanced, particularly in the concentration area of the tumor cells, while the stromal area exhibited mild enhancement and the results were similar to those studied by Kim et al (27). The T2WI SI was associated with the number of tumor cells in the collagen matrix (27). A stronger T2WI SI was associated with a higher cell proliferation and a shorter time to tumor recurrence (27).…”

Section: Discussionsupporting

confidence: 87%

“…The T2WI SI was associated with the number of tumor cells in the collagen matrix (27). A stronger T2WI SI was associated with a higher cell proliferation and a shorter time to tumor recurrence (27). The results from the present study suggested that the T2 signal ratio was a risk factor affecting recurrence time.…”

Section: Discussionmentioning

confidence: 99%

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Value of imaging findings in predicting post‑operative recurrence of desmoid‑type fibromatosis

et al. 2019

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Desmoid-type fibromatosis is a rare type of soft-tissue tumor originating from connective tissue of the fascia or aponeurosis, which exhibits aggressive growth, high likelihood of relapse and less frequent distant metastasis. The present study aimed to predict the recurrence rate and time by retrospectively analyzing the clinical data (sex, age and recurrence time), imaging findings [tumor location, maximum diameter, border, computed tomography (CT) enhancement ratio, magnetic resonance enhancement ratio and T2 signal ratio] and pathological features (Ki-67 and microscopic margin) in a total of 102 cases of pathologically confirmed desmoid-type fibromatosis. The risk ratio of each factor was calculated using the Cox proportional hazards regression model and the cumulative recurrence-free survival rate was determined using the Kaplan-Meier method and the log-rank test. The cohort comprised of 73 females and 29 males, with mean age of 32.86±12.64 years (range, 6–78 years). The 1-year and 2-year recurrence rate was 31 and 54%, respectively. The median age at recurrence was 29 years. Univariate analysis indicated that sex, maximum tumor diameter, CT enhancement ratio and Ki-67 had a significant effect on the recurrence time. Furthermore, multivariate analysis revealed that sex, maximum tumor diameter, Ki-67 and T2 signal ratio were independently associated with the time of recurrence, and the risk ratios were 0.424, 1.100, 1.084 and 1.268, respectively. Therefore, in male patients with a larger maximum tumor diameter, positivity for Ki-67 and a higher T2 signal ratio, desmoid-type fibromatosis was more likely to recur after surgery.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 87%

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Value of imaging findings in predicting post‑operative recurrence of desmoid‑type fibromatosis

et al. 2019

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“…We found cases involving upper extremity nerves [27,59], thoracic roots [55] and lower extremity nerves [27].…”

Section: Peripheral Nerve Involvementmentioning

confidence: 97%

Desmoid tumors in neurosurgery: A review of the literature

Vloo

Vlieger

Poorten

et al. 2015

Clinical Neurology and Neurosurgery

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“…Desmoid tumors are rare neoplasms of uncertain etiology arising from fascial or deep musculo-aponeurotic structures that may occur at any age, but usually in young adults with peak prevalence between 25 and 35 years [1][2][3]. In adults, the tumor has a predilection in premenopausal women.…”

Section: Introductionmentioning

confidence: 99%

Desmoid Tumor of the Thigh with Multiple Recurrences

2014

J de Chirurgie

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Background: Desmoid tumors are rare neoplasms of uncertain etiology arising from fascial or deep musculoaponeurotic structures. Although with benign histological appearance and no metastatic potential, desmoid tumors are locally aggressive tumors with a high rate of local recurrence.Case Report: The case of a 47 years old woman repeatedly operated for a recurrent desmoid tumor of the right thigh is presented. The initial radical excision was followed by adjuvant radiotherapy but local recurrence was diagnosed one year after. The pathology report revealed aspects of desmoid tumor. The patient was reoperated and subsequently referred for chemo-and hormonal therapy. A second recurrence occurred 20 months later and the patient was again operated with microscopic tumor free margins and positive long term outcome. Conclusion:Desmoid tumors are benign tumors with unpredictable natural history. Best management involves a multidisciplinary approach. Concerning diagnosis, the best approach is performing a MRI examination. Wide surgical resection with adjuvant radiation therapy remains the main treatment option for local control.

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Desmoid Type Fibromatosis in the Facet Joint of Lumbar Spine: Case Report and Review of Literature

Cited by 4 publications

References 21 publications

Value of imaging findings in predicting post‑operative recurrence of desmoid‑type fibromatosis

Value of imaging findings in predicting post‑operative recurrence of desmoid‑type fibromatosis

Desmoid tumors in neurosurgery: A review of the literature

Desmoid Tumor of the Thigh with Multiple Recurrences

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