Large chest wall fibromatosis with challenging treatment plan  

作　　者：Rashi Agrawal Prekshi Choudhary Arun Kumar Goel Vaishali Zamre Sandeep Agarwal Dinesh Singh 

机构地区：[1]Department of Radiation Oncology,Surgical Oncology,Max Super Speciality Hospital,Vaishali,Ghaziabad,Uttar Pradesh 201012,Delhi NCR,India.

出　　处：《Journal of Cancer Metastasis and Treatment》2017年第1期139-143,共5页癌症转移与治疗（英文版）

摘　　要：The primary mode of treatment for desmoid tumors is surgical excision.However,high recurrence rates(39-79%)have been reported when surgery is used alone.The role of adjuvant radiotherapy after surgical resection of primary disease is controversial and should be based on a balanced discussion of potential morbidity from radiotherapy and local recurrence.In this patient,the maximum dimension of tumor was 21 cm.This is a larger chest wall fibromatosis than has been reported thus far,to the best of our knowledge.In this case,post-operative margins were free,but in view of the large initial tumor size and potential morbidity in case of any future locoregional recurrence,post-operative adjuvant external beam radiation was delivered.An image guided intensity modulated radiotherapy technique was chosen to spare adjacent breast and lung parenchyma,and tolerance of these structures was well respected.This case provides insight into this treatment approach.

关 键 词：Chest wall fibromatosis RECURRENCE RADIOTHERAPY 

分 类 号：R73[医药卫生—肿瘤]