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Eur J Cardiothorac Surg 2001;19:580-583
© 2001 Elsevier Science NL

Desmoid tumors of the chest wall

^a Department of Thoracic Surgery, Ibn Sina University Hospital, Rabat, Morocco
^b Service de Chirurgie Thoracique, CHU Ibn Sina, Rabat, Morocco

Received 2 May 2000; received in revised form 31 January 2001; accepted 21 February 2001.

Corresponding author. 12 C 15 Rue Alloysia, Hay Riad 10100, Rabat, Morocco. Tel.: +212-37-71-17-37; fax: +212-61-81-85-45
e-mail: hassankabiri{at}yahoo.com

Objective: Desmoid tumors of the chest wall are uncommon fibromatous tumors characterized by their local invasion and frequent recurrences. They are considered low-grade malignant sarcomas. We analyze our results and evaluate our experience in their surgical treatment. Patients and methods: From 1980 and 1999, eight patients were operated in our service for desmoid tumors of the chest wall. There were five males and three females with a mean age of 32 years old (17–52 years). The diagnosis was established on the basis of clinical signs and imaging studies (Chest X-ray and computed tomography). Surgery was done by direct approach of the tumors. Results: None of the patients had Gardner's syndrome. Complete resection was done in seven of the eight cases. Histology confirmed all cases. The follow-up ranged from 24 and 180 months, for a mean of 82 months. There was one death from cardiac and renal failure 3 months after a fifth resection associated with adjuvant radiation therapy. No other post-operative complications were observed. Recurrences occurred in 50% of cases, all treated by surgery, associated to radiotherapy in one case. Conclusion: Surgical treatment of primary desmoid tumors of the chest wall requires wide local resection. In cases of recurrences, multimodality therapies should be considered.

Key Words: Desmoid tumor • Chest wall • Surgery • Recurrences

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