Keywords:
Interventional non-vascular, Musculoskeletal soft tissue, Oncology, MR, Ultrasound, Ablation procedures, Treatment effects, Multidisciplinary cancer care
Authors:
A. Najafi, C. A. Binkert; Winterthur/CH
DOI:
10.1594/ecr2018/C-0884
Aims and objectives
Desmoid tumors are locally infiltrative,
non-malignant soft tissue tumors.
Based on location,
desmoids are divided into extra-abdominal (trunk and extremities) and intra-abdominal tumors.
Risk factors are prior surgery or trauma and pregnancy.
Due to the chronic and highly variable nature of disease course and multiple different treatment options,
a multidisciplinary treatment approach including surgeons,
radiation oncologists,
oncologists and interventional radiologists is required to achieve optimal outcome.
Treatment should be pursued in patients with progressive disease,
symptoms,
risk of adjacent structures or cosmetic concerns.
Surgery,
radiation therapy,
and chemotherapy have been the mainstay of therapy,
but relapse is common and side effects can result in significant morbidity [1,2].
MR-HIFU is increasingly recognized as a treatment modality.
We assessed the success rate of MR-HIFU for the treatment of extra-abdominal desmoids at our institute over a period up to 60 months.