Amin Rajni
Department of Radiation Oncology, Royal Devon and Exeter Hospital, Exeter, UK.
J Laryngol Otol. 2002 Jun;116(6):477-9. doi: 10.1258/0022215021911121.
Desmoid tumours are uncommon benign neoplasms. They arise from fascial and musculoaponeurotic tissues and are locally infiltrative, resulting in a high rate of local recurrence following surgical resection. They present difficult loco-regional control. The location and extent of the tumour, as well as the potential for significant morbidity and mortality, dictate the most appropriate therapeutic option. Complete surgical extirpation is the optimal treatment for primary and recurrent desmoid tumours. Radiotherapy is indicated in incompletely excised or recurrent tumours. Radiation as a primary treatment is seldom recommended. A case of desmoid tumour of the neck, primarily treated with radical radiation, is described and relevant literature reviewed.
硬纤维瘤是罕见的良性肿瘤。它们起源于筋膜和肌筋膜组织，具有局部浸润性，导致手术切除后局部复发率很高。它们在局部区域控制方面存在困难。肿瘤的位置和范围，以及显著的发病率和死亡率的可能性，决定了最合适的治疗选择。完整的手术切除是原发性和复发性硬纤维瘤的最佳治疗方法。放疗适用于切除不完全或复发性肿瘤。很少推荐将放疗作为主要治疗方法。本文描述了一例主要采用根治性放疗治疗的颈部硬纤维瘤病例，并对相关文献进行了综述。
