Fibromatosis of the Cervical Region Following Laminectomy

Sevak, Shruti; Blount, Andrew L.; Cottingham, Sandra; DeLano, Mark C.; Woude, Douglas L. Vander; Stevenson, John G.; Chung, Mathew H.

doi:10.1097/brs.0b013e318232922a

Cited by 10 publications

(10 citation statements)

References 13 publications

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“…Prior abdominal surgery (colectomy) is a risk factor for the development of mesenteric fibromatosis in patients with FAP [80, 83]. Recent case studies have reported these tumors forming in response to surgical instrumentation [96–98]. …”

Section: Deep Fibromatoses and Gardner Syndromementioning

confidence: 99%

Imaging Features of Superficial and Deep Fibromatoses in the Adult Population

Walker

Petscavage

Brian

et al. 2012

Sarcoma

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The fibromatoses are a group of benign fibroblastic proliferations that vary from benign to intermediate in biological behavior. This article will discuss imaging characteristics and patient demographics of the adult type superficial (fascial) and deep (musculoaponeurotic) fibromatoses. The imaging appearance of these lesions can be characteristic (particularly when using magnetic resonance imaging). Palmar fibromatosis demonstrates multiple nodular or band-like soft tissue masses arising from the proximal palmar aponeurosis and extending along the subcutaneous tissues of the finger in parallel to the flexor tendons. T1 and T2-weighted signal intensity can vary from low (higher collagen) to intermediate (higher cellularity), similar to the other fibromatoses. Plantar fibromatosis manifests as superficial lesions along the deep plantar aponeurosis, which typically blend with the adjacent plantar musculature. Linear tails of extension (“fascial tail sign”) along the aponeurosis are frequent. Extraabdominal and abdominal wall fibromatosis often appear as a heterogeneous lesion with low signal intensity bands on all pulse sequences and linear fascial extensions (“fascial tail” sign) with MR imaging. Mesenteric fibromatosis usually demonstrates a soft tissue density on CT with radiating strands projecting into the adjacent mesenteric fat. When imaging is combined with patient demographics, a diagnosis can frequently be obtained.

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Section: Deep Fibromatoses and Gardner Syndromementioning

confidence: 99%

Imaging Features of Superficial and Deep Fibromatoses in the Adult Population

Walker

Petscavage

Brian

et al. 2012

Sarcoma

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“…The etiology of a desmoid tumor remains unclear, but traumatic, hormonal, and genetic factors have been suggested . Surgical trauma has also been suggested as a possible etiologic factor of desmoid tumors and desmoid tumors in various postoperative sites have been reported . Similarly, in this case, we postulated that a desmoid tumor in the omohyoid muscle might be triggered by surgical trauma.…”

Section: Discussionmentioning

confidence: 58%

Desmoid tumor arising from omohyoid muscle: The first report for unusual complication after transaxillary robotic thyroidectomy

et al. 2014

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“…Nearly all patients present with soft tissue mass. Pain is less Journal of Orthopaedic Surgery 27 (2) frequent and occurs approximately in 30% of patients from the mass, which usually occurs when the tumor compromises joint or muscle mobility. 8,9 The propensity for slow growth and invasion of contiguous structures makes the tumor less morbid unless they encroach on vital structures.…”

Section: Discussionmentioning

confidence: 99%

Pediatric recurrent aggressive spinal fibromatosis with progressive kyphosis and neurological deficits

Kumar

Vidyadhara

Vadhiraja

2019

J Orthop Surg (Hong Kong)

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Aggressive fibromatosis is a benign, locally invasive fibroblastic proliferation that can cause compressive effects on adjacent structures. The primary cure of this disease rests in wide excision of the tumor. Unfortunately even when surgical margins are clear of tumor, recurrence rates are high. Postoperative radiotherapy is indicated following surgical excision. We present a 13-year-old girl who had been operated for the intraspinal mass in upper thoracic spine and paraparesis with thoracic limited laminectomy and excision of the tumor mass elsewhere. The histopathological examination was reported to be aggressive fibromatosis. After 2 years, she presented again with 1-year duration of progressive deformity in the upper thoracic spine and weakness of both lower limbs. Focal kyphosis at T4-T5 was measuring 68. Magnetic resonance imaging (MRI) showed recurrent tumor involvement of posterior elements of T2-T5 and paravertebral soft tissues with signal changes in the cord at T2-T5 vertebral levels with focal kyphosis and internal gibbus. She underwent posterior spinal revision decompression with internal gibbectomy and instrumented fusion. The histopathology showed features suggestive of aggressive fibromatosis. After wound healing at 2 weeks, she underwent 3-D conformal radiotherapy, based on the preoperative tumor extent on MRI (dose of 45 Gy in 25 fractions over 5 weeks). She had normal neurology at 2-year follow-up and was tumor free on MRI. Hence, aggressive fibromatosis can recur following successful surgical wide excision. Multilevel thoracic laminectomy in growing children can cause progressive spinal deformity and neurological deficits. Operative treatment of recurrent tumor involves en bloc excision with instrumented fusion followed by local radiotherapy. This is the first pediatric recurrent spinal fibromatosis reported with successful treatment as per author's knowledge.

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Fibromatosis of the Cervical Region Following Laminectomy

Cited by 10 publications

References 13 publications

Imaging Features of Superficial and Deep Fibromatoses in the Adult Population

Imaging Features of Superficial and Deep Fibromatoses in the Adult Population

Desmoid tumor arising from omohyoid muscle: The first report for unusual complication after transaxillary robotic thyroidectomy

Pediatric recurrent aggressive spinal fibromatosis with progressive kyphosis and neurological deficits

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