Zusammenfassung
Der Desmoidtumor der Brust mit infiltra¿tiven und destruktiven Wachstumstendenzen ist eine seltene gutartige Läsion.Die Therapie der Fibromatose bevorzugt die Entfernung mit freien Schnitträndern, eine Radio- und Hormontherapie kann rezidivfreie Überlebensraten erhöhen.Wir beschreiben eine Patientin mit einem Desmoidtumor der linken Brust.
Desmoid tumor of the breast
Summary
The desmoid tumor of the breast with infiltrative and destructive growth tendencies is a rare benign lesion. Fibromatosis management favors wide local excision with clear margins, adjuvant hormonal- and radiotherapy can improve recurrence-free survival rate.We report on a patient with desmoid tumor of the breast.
MeSH
C4.588.180.520 mammary neoplasms
Schlüsselwörter
Desmoidtumor - Fibromatosis - Brust
Key words
Desmoid tumor - fibromatosis - breast
Literatur
-
1
Aaron A, O'Mara J, Legendre K. et al .
Chest wall fibromatosis associated with silicone breast implants.
Surg Oncol.
1996;
5
93-99
-
2
Acker J, Bossen E, Halperin E.
The management of desmoid tumors.
Int J Radiat Oncol Biol Phys.
1993;
26
851-858
-
3
Alman B, Pajerski M, Diaz-Canos. et al .
Aggressive fibromatosis (desmoid tumor) is a monoclonal
disorder.
Diag Mol Pathol.
1997;
6
98-101
-
4 Enzinger F M, Weiss S W. Soft tissue tumors. Mosby, St. Louis, MO 1995; 201-229
-
5
Fritsches H, Muller E.
Pseudosarcomatous fasciitis of the breast: cytologic and histologic features.
Acta Cytol.
1983;
27
73-75
-
6
Gump F, Sternenschein M, Wolff M.
Fibromatosis of the breast.
Surg Gynecol Obstet.
1981;
153
57-60
-
7 Haagensen C. Diseases of the breast. 2nd ed, WB Saunders, Philadelphia 1971; 292
-
8
Hayry P, Reitamo J, Totterman S. et al .
The desmoid tumor: analysis of factors possibly contributing to the etiology and growth behavior.
Am J Clin Pathol.
1982;
77
674-680
-
9
Hayry P, Scheinin T.
The desmoid (Reitamo) syndrome: etiology, manifestations, pathogenesis, and treatment.
Curr Probl Surg.
1988;
25
225-230
-
10
Jenkins N, Freedman L, Mc Kibbin B.
Spontaneous regression of a dermoid tumor.
J Bone Joint Surg Br.
1986;
69
780-781
-
11
Kalisher L, Long J, Peyster R.
Extraabdominal desmoid of the axillary tail mimicking breast carcinoma.
Am J Roentgenol.
1976;
126
903
-
12 Katenkamp D, Stiller D. Weichteiltumoren. Johann Ambrosius Barth, Leipzig 1990; 41-70
-
13
Khorsand J, Karakousis C.
Desmoid tumors and their management.
Am J Surg.
1985;
149
215-218
-
14
Lopez R, Kemalyan N, Moseley H. et al .
Problems in diagnosis and management of dermoid tumors.
Am J Surg.
1990;
159
450-453
-
15
Mc Collough W, Parson J, van der Griend R. et al .
Radiation therapy for aggressive fibromatosis: the experience at the University of Florida.
J Bone Joint Surg Am.
1991;
73
717-725
-
16
Patel S, Evans H, Benjamin R.
Combination chemotherapy in adult desmoid tumors.
Cancer.
1993;
72
3244-3247
-
17
Posner M, Shiu M, Newsome J. et al .
The desmoid tumor: not a benign disease.
Arch Surg.
1989;
124
191-196
-
18
Reitamo J.
The desmoid tumor, IV: choice of treatment, results, and complications.
Arch Surg.
1983;
118
1318-1322
-
19
Richards R, Rogers S, Gardner E.
Spontaneous mesenteric fibromatosis in Gardner's syndrome.
Cancer.
1981;
47
597-601
-
20
Rosen P, Ernsberger D.
Mammary fibromatosis: a spindle-cell tumor with significant risk for local recurrence.
Cancer.
1989;
63
1363-1369
-
21
Scott R, Frogatt N, Trembath R. et al .
Familial infiltrative fibromatosis (desmoid tumours) caused by a recurrent 3′APC-gene mutation.
Hum Mol Genet.
1996;
5
1921-1924
-
22
Schmitt G, Millis E, Levin V. et al .
Radiotherapy of aggressive fibromatosis.
Eur J Cancer.
1992;
28A
832-835
-
23
Schuh M, Radford D.
Desmoid tumor of the breast following augmentation mammoplasty.
Plast Recons Surg.
1994;
93
603-605
-
24
Schwickerath J, Künzig H.
Die spontane maligne Transformation einer extraabdominalen Fibromatose in ein Fibrosarkom.
Geburtshilfe Frauenheilkd.
1995;
55
173-176
-
25
Sportiello D, Hoogerland D.
A recurrent pelvic desmoid tumor successfully treated with tamoxifen.
Cancer.
1991;
67
1443-1446
-
26
Tani E.
Fine needle aspiration cytology presentation of bilateral mammary fibromatosis. Report of a case.
Acta Cytol.
1988;
32
555-558
-
27
Thomas S, Datta-Gupta S, Kapur B.
Treatment of recurrent desmoid tumor with tamoxifen.
Aust NZ J Surg.
1990;
60
919-921
-
28
Wargotz E, Norris H, Austin R. et al .
A clinical and pathological study of 28 cases.
Am J Surg Pathol.
1987;
11
38-45
-
29
Wilken N, Tattersall M.
Endocrine therapy for desmoid tumors.
Cancer.
1991;
68
1383-1388
Dr. V. Quiel
Frauenklinik des Südharz-Krankenhauses Nordhausen
Dr.-Robert-Koch-Straße 39
D-99734 Nordhausen