Staging intra-abdominal desmoid tumors in familial adenomatous polyposis: A search for a uniform approach to a troubling disease Journal Article


Authors: Church, J.; Berk, T.; Boman, B. M.; Guillem, J.; Lynch, C.; Lynch, P.; Rodriguez-Bigas, M.; Rusin, L.; Weber, T.
Article Title: Staging intra-abdominal desmoid tumors in familial adenomatous polyposis: A search for a uniform approach to a troubling disease
Abstract: INTRODUCTION: Desmoid tumors are a clinical problem in 12 to 15 percent of patients with familial adenomatous polyposis. There is no predictably effective treatment for intra-abdominal desmoid tumors, which sometimes cause significant complications by their effects on the ureters or bowel. The relative rarity and the clinical heterogeneity of intra-abdominal desmoid tumors make randomized studies difficult to do. In this article a staging system is proposed to make multi-institutional studies easier. METHODS: Intra-abdominal desmoid tumors can be staged according to their size, clinical presentation and growth pattern. CONCLUSION: A way of staging intra-abdominal desmoid tumors is proposed to facilitate stratification by disease severity during collaborative studies of various treatments. © The American Society of Colon and Rectal Surgeons.
Keywords: cancer chemotherapy; mutation; clinical feature; review; postoperative period; doxorubicin; side effect; alpha interferon; cancer patient; methotrexate; cancer staging; staging; neoplasm staging; imatinib; familial disease; tumor localization; dacarbazine; peritoneal neoplasms; tumor volume; bleeding; genotype; vinblastine; prescription; disease severity; preoperative period; intraoperative period; nonsteroid antiinflammatory agent; family history; clinical protocols; tamoxifen; sepsis; receptors, estrogen; receptors, progesterone; symptomatology; intestine obstruction; tumor growth; estrogen receptor; progesterone receptor; neoplasms, multiple primary; mesentery; pirfenidone; patient care planning; abdominal wall; adenomatous polyp; desmoid tumor; hydronephrosis; raloxifene; abdominal neoplasms; fibromatosis, aggressive; familial adenomatous polyposis; adenomatous polyposis coli; peritonitis; genes, apc; abdominal tumor
Journal Title: Diseases of the Colon and Rectum
Volume: 48
Issue: 8
ISSN: 0012-3706
Publisher: Lippincott Williams & Wilkins  
Date Published: 2005-08-01
Start Page: 1528
End Page: 1534
Language: English
DOI: 10.1007/s10350-005-0018-8
PUBMED: 15906134
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 36" - "Export Date: 24 October 2012" - "CODEN: DICRA" - "Source: Scopus"
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  1. Jose Guillem
    414 Guillem