A rare case of desmoid fibromatosis in a pediatric patient: Surgical management and outcomes

Yeap, Boon Tat and Ikhwan Nasir and Koo, Thai Hau and Aaron Gerarde Paul and Mohd Hazeman Zakaria (2025) A rare case of desmoid fibromatosis in a pediatric patient: Surgical management and outcomes. Radiology Case Reports, 20. pp. 2384-2387. ISSN 1930-0433

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Abstract

Desmoid fibromatosis (DF) is a rare, locally aggressive tumor arising from the abdominal fascia or musculoaponeurosis, commonly affecting individuals between 15 and 60 years of age. We present a case of a 13-year-old boy with a 9-month history of progressive swelling in the left posterior thigh. Magnetic resonance imaging (MRI) revealed a soft tissue tumor encasing the sciatic nerve. A biopsy confirmed the diagnosis of DF, showing spindle cells arranged in fascicles. The patient underwent wide local excision of the tumor with preservation of the sciatic nerve. Postoperative recovery was smooth, and 1-year follow-up MRI showed no recurrence. Surgical excision remains the primary treatment, especially in symptomatic patients, although recurrence is common even with negative margins. This case underscores the importance of regular follow-up for DF and a multidisciplinary approach to optimize management and surveillance.

Item Type:	Article
Keyword:	Desmoid fibromatosis, Paediatrics, Radiology, Orthopedics, Oncology
Subjects:	R Medicine > R Medicine (General) > R5-920 Medicine (General) R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
Department:	Hospital Universiti Malaysia Sabah
Depositing User:	SITI AZIZAH BINTI IDRIS -
Date Deposited:	16 Jul 2025 16:51
Last Modified:	16 Jul 2025 16:51
URI:	https://eprints.ums.edu.my/id/eprint/44503

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