Huge Desmoid Tumor on Neck Extended to Chest Wall.

Kim, Joo Han; Oh, Suk Joon; Chung, Chul Hoon; Burm, Jin Sik

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2001;28(4):431-434.
Published online July 1, 2001.

Huge Desmoid Tumor on Neck Extended to Chest Wall.

Joo Han Kim, Suk Joon Oh, Chul Hoon Chung, Jin Sik Burm

Department of Reconstructive and Plastic Surgery, College of Medicine, Hallym University, Seoul, Korea.

Abstract

Desmoid tumors are rare soft tissue neoplasms derived from fascial or musculoaponeurotic structures. These tumors are histologically benign but may behave aggressively at the local level with frequent recurrence after complete resection. Wide regional excision with negative pathologic margins is the treatment of choice for most desmoid tumors. A 36-year-old man was presented with a huge mass of 25 cm in diameter from right side of neck extended to ipsilateral chest wall. He was complaining discomfort during neck exercise and focal paresthesia on his right 2nd, 3rd, and 4th finger volar side without functional limitation. The lesion was evaluated preoperatively through MRI, angiographies and bone scan. It was originated from right scalenius medius muscle of neck extended to ipsilateral axilla and chest wall adhering to the brachial plexus. Tumor resection sparing brachial plexus was executed and postoperative radiotherapy was accompanied. After 9 months, there was no evidence of tumor recurrence and no major function limitation of right arm and hand.

Keywords: Desmoid tumor