Abstract
Desmoid-type fibromatosis (DF) is a locally aggressive benign soft tissue tumor. It is rarely observed in thehead and neck region and is particularly uncommon in the parotid gland. This report describes the case of a 32-month-old girl with DF of the head and neck. The tumor was resected with gross residual tumors. Recurrence occurred 3months later and then the patient was treated with iodine-125 interstitial brachytherapy. The tumor was completely absent 6months after brachytherapy. No recurrence was found 60months after brachytherapy during follow-up. No severe toxicities or growth abnormalities were observed. Very-low-dose rate brachytherapy as the sole modality could be a reasonable alternative for the treatment of inoperable DF of the head and neck, which avoids the risk of cosmetic deformity caused by surgery, especially in pediatric patients. In addition, long-term follow-up is recommended.
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More From: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
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