Tumor Desmóide de Parede TorácicaA
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Ciências da Saude, Saude HumanaResumo
Abstract: Desmoid tumor (DT) or aggressive fibromatosis is a rare type of soft tissue neoplastic disorder that does not metastasize, but is highly infiltrative of adjacent muscle and aponeurosis. Treatment must be aggressive, and consists mainly of surgical resection with free margins, although radiotherapy, non-steroidal anti-inflammatory drugs, hormones and chemotherapy may be used. Local relapse rate after primary treatment is high. We report a patient who had a relapse of DT on the dorsum, and who underwent thoracotomy, apophysectomy, osteotomy, biopsy of the left lower lobe of the lung, closed pleural space drainage, immediate reconstruction with rotation of muscle flaps and mesh repair. After surgery, the patient received 23 cycles of radiotherapy associated with tamoxifen (40 mg/day).
Key words: desmoid tumor – chest wall – wide surgical resection
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