Case Report
Extra-Abdominal Desmoid Tumor of the
Hand: A Case Report and Review of the Literature
- YUJI KASUKAWA,
KYOJI OKADA, MANABU
HASHIMOTO1 and MASATO
SAGESHIMA2
- Department of Orthopaedics,
1Department of Radiology, Akita University School of
Medicine, and 2Section of Clinical Pathology, Akita
University Hospital, Akita 010-8543
Extra-abdominal desmoid tumor
of the hand is rare and only 10 cases have been described in the
literature. We present a 14-year-old boy with a recurrent
extra-abdominal desmoid tumor in the dorsal site of the right hand.
MR image demonstrated the tumor in the third dorsal interosseous
muscle, and adhered to the radial side of the forth metacarpal bone.
The lesion revealed iso-signal intensity on T1-weighted images and
high intensity on T2. We performed a marginal excision. Histological
examination of the tumor showed proliferation of the fibroblastic
cells with abundant collagen bundles. He developed local recurrence
for the third time. The size of the third recurrent tumor has not
been changed for 2 years and 3 months. Therefore, we have not
performed any additional surgery. Since extensive resection markedly
diminishes the function of the hand, we consider that a marginal
surgical margin is acceptable for the quality of daily life of
patients with a desmoid tumor of the hand.
Key words--- extra-abdominal desmoid tumor;
desmoid; hand; recurrence
© 1999 Tohoku University Medical Press
Tohoku J. Exp. Med., 1999,
189,163-170
Address for reprints: Kyoji Okada, M.D., Department of
Orthopaedics, Akita University School of Medicine, 1-1-1 Hondo, Akita
010-8543, Japan.
e-mail: cshokada@med.akita-u.ac.jp
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