Forty-seven patients with unresectable desmoid tumors and 32 patients
with unresectable fibromatosis were treated with various anti-neoplast
ic agents including methotrexate, vinblastine, etoposide, actinomycin
D, and fluorouracil. A combination of methotrexate with either vinblas
tine or etoposide was found to be effective in yielding long-term cont
rol to both groups of patients. Fluorouracil and actinomycin D were le
ss effective. Other than a significant but slowly reversible periphera
l neuropathy in 6 patients, therapy was well tolerated and no long-ter
m hematologic, pulmonary, hepatic, or cardiac toxicity was noted in an
y patient.