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Desmoid-type fibromatosis of the head and neck in children: a case report and review of the literature.

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Title: Desmoid-type fibromatosis of the head and neck in children: a case report and review of the literature.
Authors: Hidetaka Miyashita, Seiji Asoda, Tomoya Soma, Kanako Munakata, Masaki Yazawa, Taneaki Nakagawa, Hiromasa Kawana, Miyashita, Hidetaka, Asoda, Seiji, Soma, Tomoya, Munakata, Kanako, Yazawa, Masaki, Nakagawa, Taneaki, Kawana, Hiromasa
Source: Journal of Medical Case Reports; 6/10/2016, Vol. 10, p1-8, 8p
Subject Terms: DESMOID tumors, HEAD & neck cancer, TUMORS in children, TONGUE surgery, SURGICAL flaps, TONGUE tumors, TREATMENT effectiveness, CONNECTIVE tissue tumors
Abstract: Background: Desmoid-type fibromatosis is defined as an intermediate tumor that rarely occurs in the head and neck of children. There is no doubt as to the value of complete surgical excision for desmoid-type fibromatosis. However, in pediatric patients, surgeons may often be concerned about making a wide excision because of the potential for functional morbidity. Some studies have reported a lack of correlation between margin status and recurrence. Therefore, we discussed our findings with a focus on the state of surgical margins.Case Presentation: We report an unusual case of a 9-month-old Japanese girl who prior to presenting at our hospital underwent debulking surgery twice with chemotherapy for desmoid-type fibromatosis of the tongue at another hospital. We performed a partial glossectomy and simultaneous reconstruction with local flap and achieved microscopic complete resection. We also reviewed available literature of pediatric desmoid-type fibromatosis in the head and neck.Conclusions: We described successful treatment for the refractory case of pediatric desmoid-type fibromatosis. The review results showed that some microscopic incomplete resections of tumors in pediatric patients with desmoid-type fibromatosis tended to be acceptable with surgical treatment. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Medical Case Reports is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Desmoid-type fibromatosis of the head and neck in children: a case report and review of the literature.
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Hidetaka+Miyashita%22">Hidetaka Miyashita</searchLink><br /><searchLink fieldCode="AR" term="%22Seiji+Asoda%22">Seiji Asoda</searchLink><br /><searchLink fieldCode="AR" term="%22Tomoya+Soma%22">Tomoya Soma</searchLink><br /><searchLink fieldCode="AR" term="%22Kanako+Munakata%22">Kanako Munakata</searchLink><br /><searchLink fieldCode="AR" term="%22Masaki+Yazawa%22">Masaki Yazawa</searchLink><br /><searchLink fieldCode="AR" term="%22Taneaki+Nakagawa%22">Taneaki Nakagawa</searchLink><br /><searchLink fieldCode="AR" term="%22Hiromasa+Kawana%22">Hiromasa Kawana</searchLink><br /><searchLink fieldCode="AR" term="%22Miyashita%2C+Hidetaka%22">Miyashita, Hidetaka</searchLink><br /><searchLink fieldCode="AR" term="%22Asoda%2C+Seiji%22">Asoda, Seiji</searchLink><br /><searchLink fieldCode="AR" term="%22Soma%2C+Tomoya%22">Soma, Tomoya</searchLink><br /><searchLink fieldCode="AR" term="%22Munakata%2C+Kanako%22">Munakata, Kanako</searchLink><br /><searchLink fieldCode="AR" term="%22Yazawa%2C+Masaki%22">Yazawa, Masaki</searchLink><br /><searchLink fieldCode="AR" term="%22Nakagawa%2C+Taneaki%22">Nakagawa, Taneaki</searchLink><br /><searchLink fieldCode="AR" term="%22Kawana%2C+Hiromasa%22">Kawana, Hiromasa</searchLink>
– Name: TitleSource
  Label: Source
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  Data: Journal of Medical Case Reports; 6/10/2016, Vol. 10, p1-8, 8p
– Name: Subject
  Label: Subject Terms
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  Data: <searchLink fieldCode="DE" term="%22DESMOID+tumors%22">DESMOID tumors</searchLink><br /><searchLink fieldCode="DE" term="%22HEAD+%26+neck+cancer%22">HEAD & neck cancer</searchLink><br /><searchLink fieldCode="DE" term="%22TUMORS+in+children%22">TUMORS in children</searchLink><br /><searchLink fieldCode="DE" term="%22TONGUE+surgery%22">TONGUE surgery</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+flaps%22">SURGICAL flaps</searchLink><br /><searchLink fieldCode="DE" term="%22TONGUE+tumors%22">TONGUE tumors</searchLink><br /><searchLink fieldCode="DE" term="%22TREATMENT+effectiveness%22">TREATMENT effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22CONNECTIVE+tissue+tumors%22">CONNECTIVE tissue tumors</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Background: </bold>Desmoid-type fibromatosis is defined as an intermediate tumor that rarely occurs in the head and neck of children. There is no doubt as to the value of complete surgical excision for desmoid-type fibromatosis. However, in pediatric patients, surgeons may often be concerned about making a wide excision because of the potential for functional morbidity. Some studies have reported a lack of correlation between margin status and recurrence. Therefore, we discussed our findings with a focus on the state of surgical margins.<bold>Case Presentation: </bold>We report an unusual case of a 9-month-old Japanese girl who prior to presenting at our hospital underwent debulking surgery twice with chemotherapy for desmoid-type fibromatosis of the tongue at another hospital. We performed a partial glossectomy and simultaneous reconstruction with local flap and achieved microscopic complete resection. We also reviewed available literature of pediatric desmoid-type fibromatosis in the head and neck.<bold>Conclusions: </bold>We described successful treatment for the refractory case of pediatric desmoid-type fibromatosis. The review results showed that some microscopic incomplete resections of tumors in pediatric patients with desmoid-type fibromatosis tended to be acceptable with surgical treatment. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Medical Case Reports is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1186/s13256-016-0949-9
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        Text: English
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      – SubjectFull: TUMORS in children
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              Text: 6/10/2016
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