OBJECTIVE: Five cases of head and neck fibromatosis were analyzed. The imag
ing and pathologic findings, surgical management, and clinical outcome were
discussed.
STUDY DESIGN AND SETTING: A retrospective study of 5 adult head and neck fi
bromatosis cases, evaluating long-term follow-up results of conservative tr
eatment.
RESULTS: The 5 patients (2 male and 3 female) ranged in age from 16 to 51 y
ears. The lesion size ranged from 1 to 8 cm. Four cases had limited surgica
l resection; 1 case was followed only. One of the surgically treated cases
had a recurrence that was irradiated. All patients were well for a follow-u
p period of 2 to 8 years.
CONCLUSION: Aggressive excision of head and neck fibromatosis cannot be ach
ieved easily. Vigilant follow-up with or without conservative surgical exci
sion achieves good disease control. Low dose radiotherapy can be used for i
noperable cases.
SIGNIFICANCE: Judicious conservative treatment should be attempted for head
and neck fibromatosis to achieve optimal functional preservation.