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Desmoid Tumors: Ongoing Care and Monitoring

Posted on July 15, 2024

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Desmoid tumors are growths in the connective soft tissue.

These tumors can’t spread throughout the body, but they can be locally aggressive and cause pain and other problems.1 If you’re diagnosed with desmoid tumors, you may need to manage this condition long term.2

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Most desmoid tumors are not life-threatening.2 In rare instances, desmoid tumors can be life-threatening depending on where they’re located, how they grow, and your overall health.3,4 Living with a desmoid tumor may include ongoing care from a health care team.2

After you’ve been diagnosed with a desmoid tumor, you might work with a team of desmoid tumor experts to develop a plan to manage your tumors and potential symptoms, such as pain or loss of function.1 Your care team might include desmoid tumor specialists, such as a medical oncologist (an expert specializing in treating tumors), a radiation oncologist, a surgical oncologist, and other medical professionals like nurses.2,5

Desmoid tumors may not need to be treated. There’s a 20 percent to 30 percent chance that desmoid tumors will shrink on their own without any medical intervention.6

Desmoid tumors may not need to be treated. There’s a 20 percent to 30 percent chance that desmoid tumors will shrink on their own without any medical intervention.6

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Desmoid Tumors May Require Lifelong Monitoring

Desmoid tumors may require long-term monitoring, and for some people, living with desmoid tumors can be like living with a chronic illness.7

After diagnosis, people with desmoid tumors may undergo monitoring, or “active surveillance,” with their health care team. This means that scans may be completed at defined intervals to assess the size of your tumor. In addition to doing scans, your health care provider will talk to you about symptoms like pain.6

The word “progression” refers to how a medical condition advances or gets worse.8 In the case of desmoid tumors, progression means that your tumor has gotten bigger and/or that your symptoms have changed or worsened.5 For example, if you have been diagnosed with a desmoid tumor, your condition might be progressing if you are experiencing more pain or more difficulty with movement or other daily activities.2

It’s important to tell your health care team about any symptoms you may be experiencing so they can determine if those that are new or worsening might be an indication that your desmoid tumors are progressing or have returned.5

If your tumor is growing quickly, your symptoms worsen, or your tumor is in a critical part of the body, your care team may recommend beginning treatment.9 Experts no longer recommend surgery as the first choice to treat desmoid tumors in most situations. Your health care team may recommend other care options first based on the location of your desmoid tumor and other factors.5

Desmoid Tumors Have a High Chance of Recurrence After Surgery

Desmoid tumors may recur, or come back, after they’ve been surgically removed. After surgery, desmoid tumors have a 24 percent to 77 percent chance of recurrence.10-12

The possibility that a tumor could return can cause anxiety for some people with desmoid tumors.7

If you’ve had surgery to remove desmoid tumors, you’ll likely have follow-up appointments to check for tumor recurrence.5

Living With a Desmoid Tumor

In addition to treating your desmoid tumor and related symptoms, it’s important to take care of your mental and emotional health.2

A desmoid tumor diagnosis can cause a range of emotions.7 A study published in 2020 found that people with desmoid tumors experienced high levels of anxiety, depression, and overall poor well-being.7

Uncertainty about whether a tumor might grow, stress about follow-up medical visits, and the challenges of undergoing treatments are all factors that may affect individuals’ mental health and quality of life.7

Although aspects of life with desmoid tumors may cause stress, there are resources to help you.

Resources To Support Your Mental Health

If you’re living with a desmoid tumor, the important thing to know is that you’re not alone. You can connect with others living with the condition at MyDesmoidTumorTeam or through other support groups.


Ask your oncologist or other members of your care team for recommendations for professionals like a social worker, a therapist, or a counselor.13

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Reach out to family and friends, and be honest with them about what you’re going through. Don’t be afraid to ask for help.

You may also want to speak with a professional to help support your mental well-being. Ask your oncologist or other members of your care team for recommendations for professionals like a social worker, a therapist, or a counselor.13

Many organizations provide mental health resources and other support for people with desmoid tumors, including the following:*

  • The Desmoid Tumor Research Foundation offers resources for people with desmoid tumors and their caregivers.14
  • Rein in Sarcoma connects individuals with a trained volunteer to help them understand their diagnosis.15
  • Global Genes provides a patient navigation service that can connect you with mental health support, financial resources, and other help.16
  • The National Institute of Mental Health provides educational resources on mental health topics and resources for finding help.17
  • SAMHSA.gov is another government resource that can connect you with resources for support.18
  • You can search a national network of mental health providers on PsychologyToday.com. You can filter by zip code, insurance coverage, and more.19

*These links are provided to help patients find more information about desmoid tumors, but inclusion on this list does not represent an endorsement or a recommendation.

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References
  1. Mayo Clinic staff. Desmoid tumors. Mayo Clinic. Updated December 6, 2023. Accessed January 26, 2024. https://www.mayoclinic.org/diseases-conditions/desmoid-tumors/symptoms-causes/syc-20355083
  2. About desmoid tumors: frequently asked questions. Desmoid Tumor Research Foundation. Accessed January 26, 2024. https://dtrf.org/about-desmoid-tumors/faqs/
  3. Joglekar SB, Rose PS, Sim F, Okuno S, Petersen I. Current perspectives on desmoid tumors: the Mayo Clinic approach. Cancers (Basel). 2011;3(3):3143-3155. doi:10.3390/cancers3033143
  4. Desmoid tumor. National Cancer Institute. February 27, 2019. Accessed February 26, 2024. https://www.cancer.gov/pediatric-adult-rare-tumor/rare-tumors/rare-soft-tissue-tumors/desmoid-tumor
  5. Referenced with permission from the NCCN Guidelines for Patients® for Soft Tissue Sarcoma 2023. © National Comprehensive Cancer Network, Inc. 2023. All rights reserved. Accessed February 27, 2024. To view the most recent and complete version of the guideline, go online to NCCN.org. NCCN makes no warranties of any kind whatsoever regarding their content, use, or application, and disclaims any responsibility for their application or use in any way.
  6. About desmoid tumors: treatment & monitoring. Desmoid Tumor Research Foundation. Accessed January 26, 2024. https://dtrf.org/about-desmoid-tumors/treatment-monitoring/
  7. Ingley KM, Klein R, Theobalds N, et al. High prevalence of persistent emotional distress in desmoid tumor. Psycho-Oncology. 2020;29(2):311-320. doi:10.1002/pon.5250
  8. NCI dictionary of cancer terms: progression. National Cancer Institute. Accessed February 27, 2024. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/progression
  9. Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Soft Tissue Sarcoma V.3.2023. © National Comprehensive Cancer Network, Inc. 2023. All rights reserved. Accessed December 12, 2023. To view the most recent and complete version of the guideline, go online to NCCN.org. NCCN makes no warranties of any kind whatsoever regarding their content, use, or application, and disclaims any responsibility for their application or use in any way.
  10. Lewis JJ, Boland PJ, Leung DH, Woodruff JM, Brennan MF. The enigma of desmoid tumors. Ann Surg. 1999;229(6):866-873. doi:10.1097/00000658-199906000-00014
  11. Easter DW, Halasz NA. Recent trends in the management of desmoid tumors: Summary of 19 cases and review of the literature. Ann Surg. 1989;210(6):765-769. doi:10.1097/00000658-198912000-00012
  12. Skubitz KM. Biology and treatment of aggressive fibromatosis or desmoid tumor. Mayo Clin Proc. 2017;92(6):947-964. doi:10.1016/j.mayocp.2017.02.012
  13. Mayo Clinic staff. Mental health providers: tips on finding one. Mayo Clinic. April 14, 2023. Accessed June 13, 2024. ​​​​​https://www.mayoclinic.org/diseases-conditions/mental-illness/in-depth/mental-health-providers/art-20045530
  14. Patients & caregivers: mental health resources. Desmoid Tumor Research Foundation. Accessed January 26, 2024. https://dtrf.org/patients-caregivers/patient-caregiver-resources/mental-health-resources/
  15. Patient and family support. Rein in Sarcoma. Accessed February 26, 2024. https://www.reininsarcoma.org/patient-and-family-support
  16. What is RARE concierge patient services? Global Genes. Accessed February 26, 2024. https://globalgenes.org/rare-disease-patient-services
  17. Help for mental illnesses. National Institute of Mental Health. Updated February 2024. Accessed May 10, 2024. https://www.nimh.nih.gov/health/find-help
  18. SAMHSA. Substance Abuse and Mental Health Services Administration. Accessed May 10, 2024. https://www.samhsa.gov/
  19. Find a therapist. Psychology Today. Accessed May 10, 2024. https://www.psychologytoday.com/us/therapists

    C_NON_US_0432 06/2024

    Posted on July 15, 2024
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    Dale Shepard, M.D., Ph.D., FACP is a medical oncologist and consultant of SpringWorks Therapeutics, Inc., serving as the director of the Taussig Cancer Institute Phase 1 Program. Learn more about him here.
    Elizabeth Wartella, M.P.H. is an Editor at MyHealthTeam. She holds a Master's in Public Health from Columbia University and is passionate about spreading accurate, evidence-based health information. Learn more about her here.

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