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체간부 유건종(Desmoid Tumor) 7예

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Affiliated Author(s)
강구정박성대정기용
Alternative Author(s)
Kang, Koo JeongPark, Sung DaeChung, Ki Yong
Journal Title
대한외과학회지
ISSN
1226-0053
Issued Date
1999
Abstract
Background: A desmoid tumor is a rare neoplasm of a mature fibroblast within an extensive collagen matrix. These tumors are classified pathologically as aggressive fibromatosis with local invasiveness, showing recurrences after surgical treatment, although they do not metastasize. Complete surgical excision without leaving a remnant tumor seems to be the primary treatment option, but these tumors often recur after resection. Therefore, alternative treatment strategies, including radiation therapy, nonsteroidal anti-inflammatory agents, anti-estrogen compounds, and cytotoxic chemotherapy, have been employed.
Method: The authors report the clinical characteristics and prognoses after treatment for seven patients who were diagnosed as having desmoid tumors and who underwent surgical excision for therapy during the ten-year period from 1986 to 1997 at Keimyung University Dongsan Medical Center.
Results: There were two males and five females. The most common chief complaint was a slowly
growing painless mass. The duration of the symptom before diagnosis was quite different from patient to patient. The locations in the trunk were scattered diffusely: the shoulder, the chest wall, the abdominal wall, the retroperitoneum, and the pelvic cavity. The tumors were well visualized by imaging techniques such as ultrasonograms, CT scans, and MRI. Four of the seven patients experienced recurrent tumors after surgical excision; two are dead. The tumors in the recurrent patients were excised incompletely at initial surgery.
Conclusion: Although the uncommon, solid desmoid tumors which develop in the musculoaponeurosis of the trunk are benign pathologically, they were recurrent after surgical excision when the resection margin is incomplete. Therefore, complete excision is the only curative therapeutic modality.
Alternative Title
Seven Cases of Desmoid Tumor of Trunk
Department
Dept. of Surgery (외과학)
Publisher
School of Medicine
Citation
구자현 et al. (1999). 체간부 유건종(Desmoid Tumor) 7예. 대한외과학회지, 56(1), 143–151.
Type
Article
ISSN
1226-0053
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38237
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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