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Postoperative Recurrent Paraspinal Fibromatosis after Resection of Cervical Meningioma and Review of Literature
The extra-abdominal deep fibromatoses also called as desmoid tumor (DT) are rare musculoaponeurotic, histologically benign tumoral soft tissue lesions which are locally aggressive with high rate of recurrence and no metastatic potential. Here, we describe a rare case of postoperative paraspinal fibromatosis in female child after aciurgy of intraspinal cervical meningioma. The lesion was incidentally detected in routine follow-up study and showed significant interval growth over a period of 1 year. Surgical resection was performed after histopathological confirmation; however, recurrence was observed. Hitherto only seven cases of postoperative paraspinal fibromatosis have been reported in the literature. To the best of authors’ knowledge, this report is the first case of postoperative fibromatosis in cervical spine after resection of meningioma. The aim of the case report is to emphasize the clinical scenario for suspicion of fibromatosis, magnetic resonance imaging clues, and multidisciplinary treatment strategy which has shifted toward initial active surveillance.
27 July 2021 (online)
© 2021. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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- 1 Desmoid Tumor Working Group. The management of desmoid tumours: a joint global consensus-based guideline approach for adult and paediatric patients. Eur J Cancer 2020; 127: 96-107
- 2 Skubitz KM. Biology and treatment of aggressive fibromatosis or desmoid tumor. Mayo Clin Proc 2017; 92 (06) 947-964
- 3 Lacayo EA, Glastonbury CM, Hoang JK, Magliocca KR, Hill KL, Hudgins PA. Deep neck fibromatosis after diskectomy and cervical fusion: case series and review of the literature. AJR Am J Roentgenol 2016; 206 (05) 1068-1072
- 4 Walker EA, Petscavage JM, Brian PL, Logie CI, Montini KM, Murphey MD. Imaging features of superficial and deep fibromatoses in the adult population. Sarcoma 2012; 2012: 215810
- 5 Goldstein A, Hoang S, Miller DC, Mesfin FB. Extra-abdominal desmoid tumor mimicking cervical spine schwannoma. Cureus 2018; 10 (08) e3145
- 6 Cho HR, Lee JK, Paik AL, Jang WY. An unusual cervical spinal meningioma in a child. J Korean Neurosurg Soc 2013; 53 (02) 129-131
- 7 Sundaram M, McGuire MH, Schajowicz F. Soft-tissue masses: histologic basis for decreased signal (short T2) on T2-weighted MR images. AJR Am J Roentgenol 1987; 148 (06) 1247-1250
- 8 Lee JC, Thomas JM, Phillips S, Fisher C, Moskovic E. Aggressive fibromatosis: MRI features with pathologic correlation. AJR Am J Roentgenol 2006; 186 (01) 247-254
- 9 Peabody TD, Simon MA. Principles of staging of soft-tissue sarcomas. Clin Orthop Relat Res 1993; ( (289) 19-31
- 10 Zreik RT, Fritchie KJ. Morphologic spectrum of desmoid-type fibromatosis. Am J Clin Pathol 2016; 145 (03) 332-340
- 11 Fletcher JA, Bridge JA, Hogendoorn PC, Mertens F. Desmoid-type fibromatoses. In: WHO Classification of Tumors of Soft Tissue and Bone. Lyon, France:. IARC Press 2013; 72-73
- 12 Bhattacharya B, Dilworth HP, Iacobuzio-Donahue C. et al. Nuclear beta-catenin expression distinguishes deep fibromatosis from other benign and malignant fibroblastic and myofibroblastic lesions. Am J Surg Pathol 2005; 29 (05) 653-659
- 13 Salas S, Chibon F, Noguchi T. et al. Molecular characterization by array comparative genomic hybridization and DNA sequencing of 194 desmoid tumors. Genes Chromosomes Cancer 2010; 49 (06) 560-568
- 14 Bohl MA, Leveque JC, Bayles S, Sethi R. Postoperative development of desmoid tumor after surgical correction of adult spinal deformity: Case report and review of literature. World Neurosurg 2019; 128: 4-10