Desmoid tumor is a rare, locally-invasive fibromatosis with a high recurrence rate and non-metastatic features. Here, we reported a 62-year male patient with desmoid tumor in the superior sulcus of left lung, complaining of cough, chest pain, limited-movement, and pain on the left upper arm. We performed extended resection of the tumor, including wedge resection of the left upper lobe, resection and anastomosis of partial left subclavian artery, resection of T1 nerve root, cauterization of adhesive pleura, and resection of the left first and second ribs. After surgery, the patient's symptoms were relived. The duration of hospital stay was 8 d. This is the first reported case of surgical treatment for the superior sulcus desmoid tumor.
Citation:
XU Hui, ZHENG Quan, WANG Tengyong, MA Lin. Surgical management of superior sulcus desmoid tumor in the left lung: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(12): 1686-1688. doi: 10.7507/1007-4848.202106085
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Gounder MM, Thomas DM, Tap WD. Locally aggressive connective tissue tumors. J Clin Oncol, 2018, 36(2): 202-209.
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Liu Q, Fang L, Li B. Desmoid fibromatosis in the foot: A case report and literature review. Medicine (Baltimore), 2018, 97(44): e13109.
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Meyerson SL, D'amico TA. Intrathoracic desmoid tumor: Brief report and review of literature. J Thorac Oncol, 2008, 3(6): 656-659.
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Murakawa T, Fukami T, Nakajima J, et al. Chest wall desmoid tumor with life-threatening intrathoracic extension. Eur J Cardiothorac Surg, 2009, 35(3): 538.
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Hara R, Matsuguma H, Suzuki H, et al. Desmoid tumor presenting as a superior sulcus tumor: A unique bone change in the vertebral body. Ann Thorac Surg, 2007, 84(5): 1752-1754.
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de Bree E, Keus R, Melissas J, et al. Desmoid tumors: Need for an individualized approach. Expert Rev Anticancer Ther, 2009, 9(4): 525-535.
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Gronchi A, Colombo C, Le Péchoux C, et al. Sporadic desmoid-type fibromatosis: A stepwise approach to a non-metastasising neoplasm—A position paper from the Italian and the French Sarcoma Group. Ann Oncol, 2014, 25(3): 578-583.
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8. |
Kasper B, Baumgarten C, Bonvalot S, et al. Management of sporadic desmoid-type fibromatosis: A European consensus approach based on patients' and professionals' expertise—A sarcoma patients EuroNet and European Organisation for Research and Treatment of Cancer/Soft Tissue and Bone Sarcoma Group initiative. Eur J Cancer, 2015, 51(2): 127-136.
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9. |
van Broekhoven DL, Verhoef C, Elias SG, et al. Local recurrence after surgery for primary extra-abdominal desmoid-type fibromatosis. Br J Surg, 2013, 100(9): 1214-1219.
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- 1. Gounder MM, Thomas DM, Tap WD. Locally aggressive connective tissue tumors. J Clin Oncol, 2018, 36(2): 202-209.
- 2. Liu Q, Fang L, Li B. Desmoid fibromatosis in the foot: A case report and literature review. Medicine (Baltimore), 2018, 97(44): e13109.
- 3. Meyerson SL, D'amico TA. Intrathoracic desmoid tumor: Brief report and review of literature. J Thorac Oncol, 2008, 3(6): 656-659.
- 4. Murakawa T, Fukami T, Nakajima J, et al. Chest wall desmoid tumor with life-threatening intrathoracic extension. Eur J Cardiothorac Surg, 2009, 35(3): 538.
- 5. Hara R, Matsuguma H, Suzuki H, et al. Desmoid tumor presenting as a superior sulcus tumor: A unique bone change in the vertebral body. Ann Thorac Surg, 2007, 84(5): 1752-1754.
- 6. de Bree E, Keus R, Melissas J, et al. Desmoid tumors: Need for an individualized approach. Expert Rev Anticancer Ther, 2009, 9(4): 525-535.
- 7. Gronchi A, Colombo C, Le Péchoux C, et al. Sporadic desmoid-type fibromatosis: A stepwise approach to a non-metastasising neoplasm—A position paper from the Italian and the French Sarcoma Group. Ann Oncol, 2014, 25(3): 578-583.
- 8. Kasper B, Baumgarten C, Bonvalot S, et al. Management of sporadic desmoid-type fibromatosis: A European consensus approach based on patients' and professionals' expertise—A sarcoma patients EuroNet and European Organisation for Research and Treatment of Cancer/Soft Tissue and Bone Sarcoma Group initiative. Eur J Cancer, 2015, 51(2): 127-136.
- 9. van Broekhoven DL, Verhoef C, Elias SG, et al. Local recurrence after surgery for primary extra-abdominal desmoid-type fibromatosis. Br J Surg, 2013, 100(9): 1214-1219.