Facial fibromatosis: benign and aggressive, yet treatable

Fibromatosis or desmoid tumors are locally aggressive neoplasms that have a propensity for local invasion and recurrence. The mainstay of treatment is excision with negative margins and the role of radiotherapy is controversial. Desmoids arising in the head and neck area are rare and pose a dilemma...

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Bibliographic Details
Published inJournal of oral medicine and oral surgery Vol. 25; no. 3; p. 29
Main Authors Rodrigues, Gabriel, Sanjeev Ballal, Devesh, Pai, Kantilatha, Carnelio, Sunitha, Singhal, Vikas, Akhtar, Shakeel
Format Journal Article
LanguageEnglish
Published Les Ulis EDP Sciences 2019
Subjects
Computed tomography
desmoid
excision
facial fibromatosis
Head and neck
Lipoma
Radiation therapy
recurrence
Tumors
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Summary:Fibromatosis or desmoid tumors are locally aggressive neoplasms that have a propensity for local invasion and recurrence. The mainstay of treatment is excision with negative margins and the role of radiotherapy is controversial. Desmoids arising in the head and neck area are rare and pose a dilemma to the surgeon due to large number of vital structures that preclude resection with wide margins. This leads to a high incidence of recurrence. We present a case of a 24-year-old male who presented with an asymptomatic left sided facial swelling causing cosmetic deformity. A subcutaneous lipoma/fibroma/neuroma was suspected and a fine needle aspiration done was inconclusive. Computed tomography revealed a subcutaneous swelling that was excised. Histopathology revealed it to be a desmoid tumor. At the end of 4-year-follow-up, he has no local recurrence.
ISSN:2608-1326
2608-1326
DOI:10.1051/mbcb/2019022