Radiotherapy in Desmoid Tumors

Stephen D. Sorgen, MD
JAMA. 1978;240(1):21. doi:10.1001/jama.1978.03290010025006.
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To the Editor.—  In the CLINICAL NOTE "Desmoid Tumor Presenting as a Parotid Mass" (239:337, 1978), the authors present an unusual and interesting case of desmoid tumor. In their comments they advocate radical excision of all such tumors and state that radiation therapy is not consistently helpful.I would like to draw the authors' and readers' attention to a recent article by Wara et al,1 who review 16 cases of desmoid tumors treated with irradiation. These 16 patients included both patients in whom the tumor had recurred following previous surgery and patients in whom the tumor was thought to be unresectable. Total tumor control was obtained in 13 of these patients with a median dose of 5,000 rads in 5 1/2 weeks delivered with megavoltage equipment. Such a dose is well tolerated with a minimum of complications and results in useful function of the involved area without mutilation.This


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