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Large-sized desmoid-type fibromatosis presented in left nuchodorsal region and managed with surgical excision: A case report and review of literature

Da Deng, Yong Qian

Background: Desmoid-type fibromatosis is defined as an intermediate tumor that rarely occurs in the nuchodorsal region. There is no doubt as to the value of complete surgical excision for desmoid-type fibromatosis. However, surgeons may often be concerned about making a wide excision because of the potential for functional morbidity. Some studies have reported a lack of correlation between margin status and recurrence.

Case presentation: We report an unusual case of a 55 y old male who prior to presenting at our hospital underwent debulking surgery. We performed a nuchodorsal tumor resection and achieved incomplete resection. We also reviewed available literature of desmoid-type fibromatosis.

Conclusions: We described successful treatment for the refractory case of desmoid-type fibromatosis. The review results showed that some microscopic incomplete resections of tumors in patients with desmoid-type fibromatosis tended to be acceptable with surgical treatment.