Facial fibromatosis

Benign and aggressive, yet treatable!

Gabriel Rodrigues, Devesh Sanjeev Ballal, Kantilatha Pai, Sunitha Carnelio, Vikas Singhal, Shakeel Akhtar

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Article number29
JournalJournal of Oral Medicine and Oral Surgery
Volume25
Issue number3
DOIs
Publication statusPublished - 01-01-2019

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Aggressive Fibromatosis
Fibroma
Recurrence
Neuroma
Neoplasms
Lipoma
Fine Needle Biopsy
Cosmetics
Neck
Radiotherapy
Head
Tomography
Incidence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Oral Surgery
  • Dentistry (miscellaneous)
  • Periodontics

Cite this

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abstract = "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.",
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Facial fibromatosis : Benign and aggressive, yet treatable! / Rodrigues, Gabriel; Sanjeev Ballal, Devesh; Pai, Kantilatha; Carnelio, Sunitha; Singhal, Vikas; Akhtar, Shakeel.

In: Journal of Oral Medicine and Oral Surgery, Vol. 25, No. 3, 29, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Facial fibromatosis

T2 - Benign and aggressive, yet treatable!

AU - Rodrigues, Gabriel

AU - Sanjeev Ballal, Devesh

AU - Pai, Kantilatha

AU - Carnelio, Sunitha

AU - Singhal, Vikas

AU - Akhtar, Shakeel

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AB - 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.

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