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General Surgery

Desmoid Tumor (Aggressive Fibromatosis)

ICD-10 Code
D48.1

Locally aggressive, non-metastasizing fibroblastic tumor that infiltrates surrounding tissues.

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents with a firm, slowly enlarging, painless or mildly tender subcutaneous mass. No history of rapid growth, systemic symptoms, or distant metastasis. Patient denies constitutional symptoms (fever, weight loss). Relevant history includes [prior trauma/surgical site/FAP/pregnancy].

Clinical Examination Findings

Physical examination reveals a palpable, firm-to-hard, fixed, non-tender, deep-seated mass measuring [X] cm. The overlying skin is intact without erythema or ulceration. No regional lymphadenopathy noted. Mass demonstrates limited mobility due to infiltration into underlying fascia or musculature.

Treatment Protocol

Management strategy discussed: [Active surveillance / Surgical resection with clear margins / Systemic therapy with Tyrosine Kinase Inhibitors or NSAIDs]. Patient advised on the high risk of local recurrence and the importance of multidisciplinary tumor board review. Post-operative monitoring via serial MRI imaging scheduled.

Detailed clinical guide coming soon.