Clinical Outcome of Fibromatosis of the Head and Neck Region

Abstract

Background and ObjectivesZZFibromatosis is an uncommon soft tissue mass lesion that can occur in all anatomic sites. Fibromatoses arising in the head and neck region comprises of approximately 5% of all fibromatoses, which is associated with an infiltrative growth pattern and thus results in difficulty in complete excision. The authors investigate the clinical characteris tics of head and neck fibromatoses. Subjects and MethodZZSix cases of head and neck fibromatoses were analyzed from 1989 to 2011. The imaging and pathologicfindings, surgical management, and clinicaloutcomes were evaluated. ResultsZZPainless mass effect was the most common symptom. The accuracy of diagnostic tools including computed tomography, magnetic resonance imaging and fine needle aspiration biopsy were under 50%. Recurrence was observed in two patients who had undergone surgical excision during follow-up. Salvage surgery was performed in these patients. ConclusionZZThe aggressive excision of head and neck fibromatosis cannot be achieved easi ly. Vigilant follow-up with or without conservative surgical excision results in good disease control. Radiotherapy can be applied for inoperable or margin positive cases considering age or performance of patient.� Korean J Otorhinolaryngol-Head Neck Surg 2013;56:144-8 Key WordsZZFibromatosis ㆍHead and neck.