Local Treatment of Desmoid Tumors: An Update.

Autor: Quek LHH; Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore., Chan LWM; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.; Division of Musculoskeletal Tumor, Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore., Pua U; Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.; Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Jazyk: angličtina
Zdroj: Seminars in interventional radiology [Semin Intervent Radiol] 2024 Jul 10; Vol. 41 (2), pp. 135-143. Date of Electronic Publication: 2024 Jul 10 (Print Publication: 2024).
DOI: 10.1055/s-0044-1786813
Abstrakt: Desmoid tumors (DTs) are rare fibroblastic proliferations, characterized by infiltrative growth and a propensity for local recurrence. Traditional strategies such as surgery, radiotherapy, and chemotherapy are the mainstays of treatment, each with its limitations and associated risks. The trend in DT management leans toward a "wait-and-see" strategy, emphasizing active surveillance supported by continuous MRI monitoring. This approach acknowledges the unpredictable nature of the disease, and a multidisciplinary management of DT requires a nuanced approach, integrating traditional therapies with emerging interventional techniques. This review highlights the emerging role of minimally invasive interventional radiological technologies and discusses interventional radiology techniques, including chemical, radiofrequency, microwave, cryoablation, and high-intensity focused ultrasound ablations as well as transarterial embolization.
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Databáze: MEDLINE