Vulvar fibromatosis: A clinical enigma

Erin M. Conroy, Marina Frimer, Rouzan G. Karabakhtsian, Richard Gorlick, Gary L. Goldberg

Research output: Contribution to journalArticle

Abstract

CONCLUSIONS: Desmoid tumors are nonmalignant, locally aggressive neoplasms most common in the 15 to 60 years age group. They are associated with high estrogen states, prior surgical trauma, and Gardner syndrome. Most commonly, desmoid tumors present in the abdominal wall, shoulder, neck, and chest, but can occur anywhere in the body. Given their rarity and lack of definitive therapy, vulvar desmoid tumors can be exceedingly difficult to treat, and are best managed with an interdisciplinary approach.

OBJECTIVE: To present a case of recurrent vulvar fibromatosis in an adolescent, discuss the specific difficulties of treating adolescents, and review the literature on available treatment.

METHODS: We present a case of recurrent vulvar fibromatosis in a 14-year-old girl, requiring several treatment modalities, including multiple surgeries, radiation therapy, and multiagent chemotherapy. We then discuss management strategies for these tumor types, and specifically examine how tumor location may impact their treatment.

RESULTS: Vulvar desmoids are extremely uncommon and they can be disfiguring and cause significant discomfort for women. Initial management of these tumors is surgical excision, yet failed surgery is often followed by other treatment modalities, including radiation, tyrosine kinase inhibitors, nonsteroidal anti-inflammatory drugs, hormonal therapy, and chemotherapy. This case clearly highlights the difficulties in managing these rare tumors, particularly in the adolescent population.

Original languageEnglish (US)
Pages (from-to)63-67
Number of pages5
JournalJournal of Pediatric Hematology/Oncology
Volume37
Issue number1
DOIs
StatePublished - Jan 3 2015
Externally publishedYes

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Fibroma
Aggressive Fibromatosis
Neoplasms
Drug Therapy
Gardner Syndrome
Therapeutics
Abdominal Wall
Protein-Tyrosine Kinases
Estrogens
Anti-Inflammatory Agents
Neck
Radiotherapy
Thorax
Age Groups
Radiation
Wounds and Injuries

Keywords

  • adolescent
  • chronic illness
  • fibromatosis
  • vulvar

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Oncology
  • Hematology
  • Medicine(all)

Cite this

Vulvar fibromatosis : A clinical enigma. / Conroy, Erin M.; Frimer, Marina; Karabakhtsian, Rouzan G.; Gorlick, Richard; Goldberg, Gary L.

In: Journal of Pediatric Hematology/Oncology, Vol. 37, No. 1, 03.01.2015, p. 63-67.

Research output: Contribution to journalArticle

Conroy, Erin M. ; Frimer, Marina ; Karabakhtsian, Rouzan G. ; Gorlick, Richard ; Goldberg, Gary L. / Vulvar fibromatosis : A clinical enigma. In: Journal of Pediatric Hematology/Oncology. 2015 ; Vol. 37, No. 1. pp. 63-67.
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