Recurrent giant cranial desmoid tumor in a 3-year-old boy with familial adenomatous polyposis requiring bifrontoparietal cranioplasty: case report

Luyuan Li; John N Jensen; Sara Szabo; Peter VanTuinen; Sean M Lew

doi:10.3171/2016.6.PEDS15741

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Recurrent giant cranial desmoid tumor in a 3-year-old boy with familial adenomatous polyposis requiring bifrontoparietal cranioplasty: case report

Journal article

Peer reviewed

Recurrent giant cranial desmoid tumor in a 3-year-old boy with familial adenomatous polyposis requiring bifrontoparietal cranioplasty: case report

Luyuan Li, John N Jensen, Sara Szabo, Peter VanTuinen and Sean M Lew

Journal of neurosurgery. Pediatrics, Vol.25(6), pp.703-707

12/2016

DOI: 10.3171/2016.6.PEDS15741

PMID: 27635978

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Abstract

Desmoid tumors, also known as aggressive fibromatosis, are locally infiltrating musculoaponeurotic neoplasms arising in connective tissues. Desmoid tumors may be associated with familial adenomatous polyposis (FAP), a genetic disorder that presents with hundreds to thousands of precancerous colorectal polyps. The authors report the case of an 18-month-old boy who underwent resection of a right temporal desmoid tumor (initially diagnosed as cranial fasciitis) and developed a bilateral frontoparietal calvarial desmoid tumor 2 years later. The patient underwent gross-total resection of the tumor that required a large cranioplasty. He was subsequently diagnosed with FAP. The patient has been without tumor recurrence for 9 years afterwards and has not required revision of his cranioplasty. This is the first report describing a recurrent cranial desmoid tumor in a pediatric patient with FAP. The authors believe, however, that some of the cases previously reported as cranial fasciitis are likely desmoid tumors pathobiologically and genetically.

Adenomatous Polyposis Coli - complications

Adenomatous Polyposis Coli - diagnostic imaging

Adenomatous Polyposis Coli - surgery

Child

Child, Preschool

Fibromatosis, Aggressive - complications

Fibromatosis, Aggressive - diagnostic imaging

Fibromatosis, Aggressive - surgery

Frontal Bone - diagnostic imaging

Frontal Bone - surgery

Humans

Male

Neoplasm Recurrence, Local - complications

Neoplasm Recurrence, Local - diagnostic imaging

Neoplasm Recurrence, Local - surgery

Parietal Bone - diagnostic imaging

Parietal Bone - surgery

Skull Neoplasms - complications

Skull Neoplasms - diagnostic imaging

Skull Neoplasms - surgery

Details

Title: Subtitle: Recurrent giant cranial desmoid tumor in a 3-year-old boy with familial adenomatous polyposis requiring bifrontoparietal cranioplasty: case report
Creators: Luyuan Li - Medical College of Wisconsin
John N Jensen - Children's Hospital of Wisconsin
Sara Szabo - Cincinnati Children's Hospital Medical Center
Peter VanTuinen - Cincinnati Children's Hospital Medical Center
Sean M Lew - Medical College of Wisconsin
Resource Type: Journal article
Publication Details: Journal of neurosurgery. Pediatrics, Vol.25(6), pp.703-707
DOI: 10.3171/2016.6.PEDS15741
PMID: 27635978
NLM abbreviation: J Neurosurg Pediatr
ISSN: 1933-0707
eISSN: 1933-0715
Language: English
Date published: 12/2016
Academic Unit: Surgery
Record Identifier: 9984701545302771

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