Desmoid Tumours; A Series Of 33 Cases

Abstract

The aetiology, localization, and treatment of desmoid tumours are considered. Heavy muscular contractions (such as at childbirth) seem to be a most important aetiologic factor. Hormonal factors may secondarily influence the growth of the desmoid tumour. From the standpoint of therapy, it is important to draw attention to the fact that desmoid tumours may occur extra-abdominally. Treatment consists in microscopically radical excision. Of 24 radically excised desmoid tumours, only two recurred. Cortisone was used without success in one case. Radiation therapy failed to produce any effect in another instance. Attention is called to Gardner’s syndrome; hereditary intestinal polyposis with fibroid tumours (including desmoids), osteomas, and epidermoid cysts. One case is presented of colonic polyposis with excessive desmoid infiltration in the abdominal scars.