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The Desmoid Tumor Research Foundation

January 2014

Desmoid fibromatosis of submandibular region.

Author Information

Nirmalatiban Parthiban,Rohana Ali,Tadgh O'Dwyer

Department of Otorhinolaryngology, Head and Neck Surgery, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland.,Department of Surgery, Perdana University- Royal College of Surgeons Ireland, Malaysia. Block B and D1, MAEPS building, MARDI Complex, Jalan MAEPS Perdana, 43400 Serdang, Selangor, Malaysia ; Department of Otorhinolaryngology, Head and Neck Surgery, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland.,Department of Surgery, Perdana University- Royal College of Surgeons Ireland, Malaysia. Block B and D1, MAEPS building, MARDI Complex, Jalan MAEPS Perdana, 43400 Serdang, Selangor, Malaysia.

Publication

Summary

We report a case of desmoid tumor in the submandibular region in a 32-year-old male who presented with right submandibular swelling postextraction of right lower wisdom tooth. Excision biopsy was carried out initially following inconclusive fine needle aspiration and discussion at multidisciplinary meeting. The tumor recurred 4 months following initial excisional biopsy necessitating a more radical secondary approach involving segmental mandibulectomy. Intraoperatively we also noted that the tumor was originating from the site of previous wisdom tooth extraction, raising the question of surgical trauma as precursor of desmoid tumor. We achieved a negative resection margin and a complete remission for 24 months.

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