Desmoid tumor risk factors

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Case #1

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]

Overview

Common risk factors in the development of desmoid tumor include personal or family history of familial adenomatous polyposis (FAP), Gardner syndrome, Turcot syndrome, specific location of APC (adenomatous polyposis coli) gene mutation i.e. 3' of codon 1444, family history of desmoid tumor, estrogen therapy, oral contraceptive pills, pregnancy, history of antecedent surgical or accidental trauma or repeated irradiation at the tumor site, female gender and androgens.

Risk Factors

Common risk factors in the development of desmoid tumor include:[1]

Common risk factors for development of desmoid tumor
Risk factors Associated features
Familial adenomatous polyposis (FAP) (10-20%)[2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]
Gardner syndrome (inherited desmoids)
Turcot syndrome
Specific location of APC (adenomatous polyposis coli) gene mutation i.e. 3' end of the APC gene, specifically between codons 1445 and 1580[12][18][19][20][21][22][23][24][25]
  • Mutations between codons 1310 and 2011 are associated with a sixfold risk of desmoid tumors relative to the low-risk reference region (159 to 495)
Family history of desmoid tumor
Family history of colon cancer/FAP
Estrogen therapy[26]
Oral contraceptive pills
Pregnancy[27][28][29][30]
History of antecedent surgical/accidental trauma at the tumor site (30%)[31][32]
History of breast cancer[33] History of breast cancer or previous breast surgery is associated with breast desmoids
History of repeated irradiation to a certain body part
Female gender
Sex hormones/androgens [34]

Reference

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