Desmoids, although pathologically benign, are called “locally malignant tumors”, due to their infiltrative growth and tendency to recur locally. They are roughly classified as abdominal (90%) or extra-abdominal (10%), with 12-20% of extra abdominal occurring on the head and neck.
We report a case of extra abdominal frontal neck desmoid. A 47-year-old woman was seen for a frontal neck. Unable to pathologically diagnose the tumor preoperatively, we suspected a schwannoma, leiomyoma, or solitary fibrous tumor. After two total resections and immediate local recurrence, we suggested that she undergo neck radiotherapy.
No recurrence has occurred in the 6 months since postoperative 50 Gy radiation. Neck tumor occurrence should thus suggest the possibility of desmoids.
