Treatments of desmoid mesenteric tumors

OBJECTIVE: To elaborate a therapeutic theme far desmoid tumors developing w ithin the mesenteric Foot These uncommon and often unrecognized tumors are difficult to treat as they lie very dose to the superior mesenteric vessels . PATIENTS AND METHODS: Retrospective analysis of 14 cases treated in our cen ter over the last 20 years and a review of the literature RESULTS: The analysis led to the development of a therapeutic theme Patient s are placed under regular surveillance to detect any progression of the me senteric root desmoid tumor. In case of progression, surgery should be prop osed as often as possible in spite of the real difficulty of this surgery. When the tumor is unresectable, hormone therapy, sulindac, chemotherapy and radiotherapy can be proposed as appropriate. CONCLUSION: Based on the available literature, the proposed decisional tree is a helpful management teal. This theme should be validated with the help of a National Observatory focusing on this rare disease.