Recurrent large thoracic desmoid.

Desmoid tumours, also termed aggressive fibromatosis, are rare soft tissue neoplasms derived from fascial or musculo-aponeurotic structures. These tumours are histologically benign, but may behave aggressively. Problems in management are encountered because of their potential to attain large sizes, recur, and infiltrate neighbouring vital structures. Wide excision with adequate margins is the treatment of choice. Adjuvant or rarely primary radiation has a defined role. We report a 37-year-old man with a large recurrent thoracic desmoid which attained a very large size.