Desmoid tumors of the head and neck: A therapeutic challenge.

Summary

Desmoid tumor, or aggressive fibromatosis, is a rare, histologically benign, fibroblastic lesion that infrequently presents in the head and neck. The most common treatment is surgery, but desmoid tumors are characteristically associated with a high local recurrence rate after resection. The efficacy of postoperative radiotherapy is controversial. Its potential benefit should be carefully balanced against possible radiation-induced adverse effects. Alternative treatment modalities, such as primary radiotherapy and medical treatment or a wait-and-see policy, may be preferable to mutilating surgery.