Rapidly growing breast desmoid tumor with intra-thoracic involvement after reconstructive surgery for breast cancer

Abstract

Desmoid tumors are very rare soft tissue neoplasia that are slow growing and locally aggressive. They grow anywhere in the body and are rarely develop in the breast . Histopathologic examination confirms diagnosis. Recurrence rate is very high even after complete resection. We report the management of a rare case of rapidly growing breast desmoid with intra‐thoracic involvement causing cardiac compression.

Diagnosis and Management of Desmoid Fibromatosis of the Breast

“…Case reports regarding desmoid tumor of the breast are rare, but increasing in frequency in the recent literature. The majority of these reports concern one or two patients [4][5][6][7][8][9][10][11][12][13]. The three largest case series come either from multidisciplinary collaboratives or from large free standing cancer centers.…”

“…Of note, 14 patients (44%) had a history of prior surgery on the breast, and eight patients (25%) had a prior his-tory of breast cancer. Further case reports are summarized in Table 1 [4][5][6][7][8][10][11][12][13][14][15][16][17].…”

“…Our interest in desmoid tumor of the breast was sparked by an unusual presentation of a large breast mass in a 16-year-old patient with familial adenomatous polyposis (FAP) syndrome. Although there are ample small case series published in recent years, larger series are much more rare [4][5][6][7][8][9][10][11][12][13][14], and lack of a consensus algorithm for management of this disease represents a problem to those who encounter these patients. Therefore, we have endeavored to undertake a review of the current literature and propose an evidence-based algorithm for the management of desmoid tumors of the breast.…”