Initial Management of Desmoid Tumor: When Active Surveillance Is the First Step

For patients with desmoid tumor, a period of active surveillance is recommended as the initial strategy — before any decision is made in favour of active treatment.

Initial Approach

The first-line approach centres on active surveillance: regular clinical assessment combined with structured imaging follow-up to monitor disease behaviour over time.

The full protocol specifies the surveillance schedule and defines the criteria that inform subsequent management decisions — details available via the link below.

Treatment Goals

The primary goal is stability — stable tumor size on imaging, with no evidence of growth confirmed across multiple consecutive follow-up assessments.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1001/jamaoncol.2024.1805

However, a period of active surveillance should be proposed as the initial strategy for all patients with DT, before making any decision in favor of active treatment.

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