Incidence and treatment of recurrent plantar fibromatosis by surgery and postoperative radiotherapy

The incidence of plantar fibromatosis (PF) is unknown. Sometimes PF tends to recur repetitively after surgical treatment. In our institute we have used postoperative radiotherapy in an attempt to diminish the change on recurrence. The Dutch Network and National Database for Pathology (PALGA) was con...

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Veröffentlicht in:The American journal of surgery 2004, Vol.187 (1), p.33-38
Hauptverfasser: de Bree, Eelco, Zoetmulder, Frans A.N, Keus, Ronald B, Peterse, Hans L, van Coevorden, Frits
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container_end_page 38
container_issue 1
container_start_page 33
container_title The American journal of surgery
container_volume 187
creator de Bree, Eelco
Zoetmulder, Frans A.N
Keus, Ronald B
Peterse, Hans L
van Coevorden, Frits
description The incidence of plantar fibromatosis (PF) is unknown. Sometimes PF tends to recur repetitively after surgical treatment. In our institute we have used postoperative radiotherapy in an attempt to diminish the change on recurrence. The Dutch Network and National Database for Pathology (PALGA) was consulted to establish the incidence of plantar fibromatosis (PF). Data from 9 patients (11 feet) with PF referred to our institute for recurrent disease were analyzed and the role of postoperative radiotherapy in prevention of recurrence was studied. An average of 1.2 operations for PF was performed per 100,000 citizens yearly in the Netherlands. Twenty-six operations were performed and postoperative radiotherapy was used in 6 cases. Plantar fasciectomy was associated with the lowest recurrence rate. After microscopically incomplete excision or excision of early recurrence (≤6 months) alone all tumors recurred, while recurrence was rarely observed after adjuvant radiotherapy. However, radiotherapy was associated with significantly impaired functional outcome in 3 cases. Plantar fibromatosis is relatively rare. Plantar fasciectomy seems to be the operation of choice. Although effective in decreasing the recurrence rate, adjuvant radiotherapy should be used very selectively because of its serious side effects.
doi_str_mv 10.1016/j.amjsurg.2002.11.002
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Sometimes PF tends to recur repetitively after surgical treatment. In our institute we have used postoperative radiotherapy in an attempt to diminish the change on recurrence. The Dutch Network and National Database for Pathology (PALGA) was consulted to establish the incidence of plantar fibromatosis (PF). Data from 9 patients (11 feet) with PF referred to our institute for recurrent disease were analyzed and the role of postoperative radiotherapy in prevention of recurrence was studied. An average of 1.2 operations for PF was performed per 100,000 citizens yearly in the Netherlands. Twenty-six operations were performed and postoperative radiotherapy was used in 6 cases. Plantar fasciectomy was associated with the lowest recurrence rate. After microscopically incomplete excision or excision of early recurrence (≤6 months) alone all tumors recurred, while recurrence was rarely observed after adjuvant radiotherapy. However, radiotherapy was associated with significantly impaired functional outcome in 3 cases. Plantar fibromatosis is relatively rare. Plantar fasciectomy seems to be the operation of choice. 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Sometimes PF tends to recur repetitively after surgical treatment. In our institute we have used postoperative radiotherapy in an attempt to diminish the change on recurrence. The Dutch Network and National Database for Pathology (PALGA) was consulted to establish the incidence of plantar fibromatosis (PF). Data from 9 patients (11 feet) with PF referred to our institute for recurrent disease were analyzed and the role of postoperative radiotherapy in prevention of recurrence was studied. An average of 1.2 operations for PF was performed per 100,000 citizens yearly in the Netherlands. Twenty-six operations were performed and postoperative radiotherapy was used in 6 cases. Plantar fasciectomy was associated with the lowest recurrence rate. After microscopically incomplete excision or excision of early recurrence (≤6 months) alone all tumors recurred, while recurrence was rarely observed after adjuvant radiotherapy. However, radiotherapy was associated with significantly impaired functional outcome in 3 cases. Plantar fibromatosis is relatively rare. Plantar fasciectomy seems to be the operation of choice. Although effective in decreasing the recurrence rate, adjuvant radiotherapy should be used very selectively because of its serious side effects.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>14706583</pmid><doi>10.1016/j.amjsurg.2002.11.002</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Adult
Age
Biological and medical sciences
Breast cancer
Child
Combined Modality Therapy
Female
Fibroma - epidemiology
Fibroma - radiotherapy
Fibroma - surgery
Foot Diseases - epidemiology
Foot Diseases - radiotherapy
Foot Diseases - surgery
Fractures
General aspects
Humans
Incidence
Male
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - epidemiology
Neoplasm Recurrence, Local - radiotherapy
Neoplasm Recurrence, Local - surgery
Plantar fibromatosis
Postoperative Care
Radiation therapy
Radiotherapy
Risk Factors
Surgery
Therapy
Trauma
Treatment
Tumors
Wound healing
title Incidence and treatment of recurrent plantar fibromatosis by surgery and postoperative radiotherapy
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