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Extra-abdominal Desmoid Fibromatosis in the Foot

A Case Study

Alan A. MacGill Certified Foot & Ankle Specialists PL, Boca Raton, FL.

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Vincent R. Milione Department of Podiatric Medicine and Surgery, Florida Hospital, Orlando, FL.

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Laura G. Sullivan Department of Pathology, Florida Hospital, Orlando, FL.

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Extra-abdominal desmoid tumors account for 0.03% of all neoplasms and rarely present in the foot. They are benign but locally aggressive, and wide local surgical excision is the treatment of choice owing to the high rate of recurrence in the lower extremities. Invasiveness into the surrounding soft-tissue structures often makes wide excision difficult without compromise of function. We describe a 34-year-old woman with a large, pedal, extra-abdominal desmoid fibroma treated by wide local surgical excision with minimal complications postoperatively and no clinical evidence of recurrence at 28 months. (J Am Podiatr Med Assoc 101(1): 70–74, 2011)

Corresponding author: Alan A. MacGill, DPM, Certified Foot & Ankle Specialists PL, 1601 Clint Moore Rd, Ste 130, Boca Raton, FL 33487. (E-mail: alanmacgill@gmail.com)
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