Serkan KAYABAŞI, Aydın ACAR, Zeynel ÖZTÜRK, Meli̇h ÇAYÖNÜ, Ali AÇIKALIN, Adil ERYILMAZ

Boyunda Desmoid Tümör

Desmoid tümör, muskuloaponörotik hücrelerin fibroblastik değisime uğraması sonucu ile olusan, benign karakterli olmasına karşın malign özellikler gösterebilen bir tümör türüdür. Sıklıkla travma sonrası ve abdominal bölgede gelisen bu tümör, bas boyun bölgesinde çok nadir olarak izlenir. Cerrahi ve geniş lokal eksizyon, tercih edilen tedavi yöntemidir. Ancak agresif davranışı nedeniyle tam tedavi her zaman mümkün olamamakta, negatif cerrahi sınırlı eksizyonda dahi yüksek oranda nükslere rastlanmaktadır. Bu yazımızda sternokleidomastoid kas üzerinde yerleşmiş ve geniş lokal eksizyon ile tedavi edilmiş bir desmoid tümör olgusu literatür bilgileri ile tartışılmaktadır

Anahtar Kelimeler:

Baş boyun, desmoid tümör, cerrahi

Desmoid Tumor Of The Neck

Desmoid tumor is formed by musculoaponeurotic cells which transformes to fibroblastic changes,is a benign tumor although it represents malign characteristics. It usually occurs at abdominal region after traumas; its hard to come by at head neck region.surgical and wide excision is the choosen treatment option.but because of its agressive behaviour, complete treatment can’t be done all the time; reccurrence can be seen of a high percentage even after the surgical excision with negative surgical borderlines. In our article,a desmoid tumor which was settled upon the sternocleidomastoid muscle and treated with wide local excision,is being discussed with literature knowledgment

Keywords:

head neck, desmoid tumor, surgery,

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Abikhzer G, Bouganium N, Finesilver A. Aggressive fibromatosis of the head and neck: case report and review of the literature. J Otolaryngol. 2005;34:289–294.
Hoos A, Lewis JJ, Urist MJ, Shaha AR, Hawkins WG, Shah J, Brennan MF. Desmoid tumors of the head and neck- a clinical study of a rare entity. Head and Neck. 2000;22:814–821.
Collins BJ, Fischer AC, Tufaro AP. Desmoid tumors of the head and neck: a review. Ann Plast Surg. 2005;54:103–108.
McKinnon JL. Managment of desmoid tumors.Surg Gynecol Obs- tet 1989; 169(2): 104-6.
Posner MC. The desmoid tumor: Not a benign disease. Arch Surg 1989; 124(2); 191-6.
Ogino-Nishimura E, Okamura HO, Kishimoto S. Successful treatment of an extra-abdominal fibromatosis (desmoid tumor) arising from the prevertebral fascia of the neck. European Arc- hives of Otorhinolaryngology. 2003;260:446–449.
Sharma H, Sen S, Sheriff AK, Bal S, Mathur M, Singh N. Characte- rization of apoptosis- related molecular changes in a desmoid tumor ofthe chest wall: report of a case. Surg Today 2003; 33(5): 358-62.