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- Title
Transition of Treatment for Patients with Extra-Abdominal Desmoid Tumors: Nagoya University Modality.
- Authors
Nishida, Yoshihiro; Tsukushi, Satoshi; Shido, Yoji; Urakawa, Hiroshi; Arai, Eisuke; Ishiguro, Naoki
- Abstract
Treatment modalities for desmoid tumors have been changed because of the high recurrence rate, even after wide resection, and some cases experience spontaneous self-regression during clinical course. The treatment modality in our institutions before 2003 was surgical resection with wide surgical margin, however, meloxicam, which is a NSAID and a selective COX-2 inhibitor has been applied consecutively since 2003. We reviewed the previously reported outcomes of surgical and conservative treatment in our institutions. Among 30 patients receiving surgical treatment, 16 (53%) recurred. Younger age (p < 0.05) was a significant poor factor. According to RECIST for meloxicam treatment, CR was in one, PR in 10, SD in eight, PD in one evaluated at 2011. Older age (p < 0.01) was significantly associated with good outcome for meloxicam treatment. Results of the previous study indicated that surgical treatment alone could not control desmoid tumors, even with negative surgical margin. Considering the functional impairment resulting from surgery with negative surgical margin, a conservative and effective treatment modality with fewer complications is desired. Conservative treatment with meloxicam is a promising novel modality for patients with extra-abdominal desmoid tumors.
- Subjects
AGE distribution; FISHER exact test; LONGITUDINAL method; HEALTH outcome assessment; NONSTEROIDAL anti-inflammatory agents; SOFT tissue tumors; T-test (Statistics); CYCLOOXYGENASE 2; TREATMENT effectiveness; DESCRIPTIVE statistics; THERAPEUTICS
- Publication
Cancers, 2012, Vol 4, Issue 1, p88
- ISSN
2072-6694
- Publication type
Article
- DOI
10.3390/cancers4010088