Preventing neurovascular invasion in desmoid tumors

Ozger H., Ozkunt O., Akgul T., Saglam Y.

ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, cilt.47, sa.4, ss.286-290, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 47 Sayı: 4
  • Basım Tarihi: 2013
  • Doi Numarası: 10.3944/aott.2013.2690
  • Dergi Adı: ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.286-290
  • Anahtar Kelimeler: Desmoid tumor, graft, neurovascular invasion, AGGRESSIVE FIBROMATOSIS, RADIATION-THERAPY, PROGNOSTIC-FACTORS, LOCAL-CONTROL, MANAGEMENT, RADIOTHERAPY, SURGERY
  • İstanbul Üniversitesi Adresli: Evet

Özet

Desmoid tumors or aggressive fibromatoses are rare, non-encapsulated, infiltrative and locally aggressive tumors originating from deep musculo-aponeurotic structures. Traditionally, preferred treatment method for desmoid tumors is wide local excision. Depending on the side and type of resection, the reported local recurrence rates range from 15 to 77%. Similarly, in our institution there is a significant recurrence rate (24%) in patients who underwent surgery for desmoid tumor. After several recurrences, amputation may be inevitable following repeating vascular and nerve reconstructions. There is a need for a nonviable barrier in order to prevent the invasion of the viable tumor to the neurovascular structures which are also viable tissues. Depending on this need, we present two cases that we used synthetic vascular graft in their operations to cover neurovascular structures in order to prevent tumor invasion. For patients who are not suitable for radiotherapy and the neurovascular structures need to be secured because of the risk of local recurrence, this method can prevent possible future invasion of vessels and nerves.