The Place of Radiotherapy in the Management of Desmoid Tumors
Published: 2021-09-03
Page: 239-244
Issue: 2021 - Volume 4 [Issue 2]
Fatma Elloumi
Department of Radiation Oncology, Habib Bourguiba University Hospital, Sfax, Tunisia.
Fatma Ajengui *
Department of Radiation Oncology, Habib Bourguiba University Hospital, Sfax, Tunisia.
Lilia Ghorbal *
Department of Radiation Oncology, Habib Bourguiba University Hospital, Sfax, Tunisia.
Mayada Bourmeche
Department of Radiation Oncology, Habib Bourguiba University Hospital, Sfax, Tunisia.
Jamel Daoud
Department of Radiation Oncology, Habib Bourguiba University Hospital, Sfax, Tunisia.
*Author to whom correspondence should be addressed.
Abstract
The management of desmoid tumors has undergone changes in recent years including active surveillance for asymptomatic and non-progressive tumors. The place of radiotherapy is contested due to significant toxicity. Radiation therapy is offered as an alternative to surgery for tumors that are unresectable or whose removal exposes functional or life damage.
In view of the high recurrence potential, radiotherapy should also be discussed after surgery for desmoid tumors. Irradiation has shown its benefit in terms of local control for tumors whose excision is incomplete. Its place after full surgery is controversial.
Through this review of the literature, we propose to support the indications for radiotherapy in the management of desmoid tumors and to present its technical aspects.
Keywords: Desmoid, tumor, treatment