Intraabdominal desmoid tumors in familial adenomatous polyposis

被引:3
作者
Galletto, Paula [1 ]
Liz Leoz, Maria [1 ]
Castells, Antoni [1 ]
Balaguer, Francesc [1 ]
机构
[1] Univ Barcelona, Serv Gastroenterol, Hosp Clin, CIBEREHD,IDIBAPS, Barcelona, Spain
来源
GASTROENTEROLOGIA Y HEPATOLOGIA | 2013年 / 36卷 / 09期
关键词
Desmoid tumor; Familial adenomatous polyposis; Aggresive fibromatosis; Colorectal cancer; SOFT-TISSUE SARCOMA; AGGRESSIVE FIBROMATOSIS; PROGNOSTIC-FACTORS; CHEMOTHERAPY; FEATURES; METHOTREXATE; VINBLASTINE; SERIES;
D O I
10.1016/j.gastrohep.2012.12.005
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Desmoid tumors are currently the main cause of morbidity and mortality in patients with familial adenomatous polyposis. More than 10% of these patients will develop these tumors during their lifetime and more than a third will suffer their consequences. The main risk factors for their development are female sex and abdominal surgery. The most frequent localization is intraabdominal. The therapeutic approach to these tumors has changed, and the surgical treatment of choice is currently the subject of debate. If a watch and wait approach is adopted, more than 50% of tumors will prove to be indolent. Therefore, the therapeutic strategy should be based on clinical presentation and should be decided by a multidisciplinary team working in a center with experience of these tumors. The present article proposes a prognostic classification to guide the therapeutic approach. (C) 2012 Elsevier Espana, S.L. and AEEH y AEG. All rights reserved.
引用
收藏
页码:580 / 586
页数:7
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