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World Neurosurg. 2013 Jan;79(1):207.e15-8. doi: 10.1016/j.wneu.2011.01.041. Epub 2011 Nov 7.

Occiput to thoracic fusion after surgical resection of desmoid tumor.

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  • 1Department of Neurological Surgery, University of Miami/Jackson Memorial Hospital, Miami, Florida, USA. Bhood@med.miami.edu

Abstract

BACKGROUND:

Desmoid tumors are rare clinical entities that cause significant morbidity based on their locally aggressive nature. Complete resection with wide margins is the standard of care; however, when arising in the neck, resection is limited due to proximity of the lesion to critical structures.

CASE DESCRIPTION:

We describe a complete resection of a desmoid tumor requiring extensive resection of cervical extensor musculature. We were able to achieve a total resection of a cervical desmoid tumor with no evidence of recurrence at follow-up.

CONCLUSIONS:

Complete resection of desmoid tumors is the standard of care. In this case, we felt that complete resection would lead to iatrogenic instability; therefore, an occiput to thoracic fusion was performed at the time of the resection.

Copyright © 2013 Elsevier Inc. All rights reserved.

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