Every year approximately 19,000 breast enlargement operations are performed in the Netherlands. Although rare, surgical trauma to breast tissue can result in the development of a desmoid tumour.
A 54-year-old woman, with a history of breast enlargement surgery using silicone implants, presented with a rapidly progressive swelling in the left breast. Radiological and histopathological examinations confirmed the diagnosis of a desmoid tumour. A preoperative workup for surgical resection of the tumour and reconstruction of the breast was conducted; however, following discussion between the breast- and the soft-tissue tumour workgroups we decided not to operate, due to the high risk of recurrence after surgery. Together with the patient we opted for conservative management with radiological follow-up within a national trial.
A desmoid tumour in the breast is a rare condition. Worldwide, it is increasingly treated using a watch-and-wait management approach. Multidisciplinary discussions contribute to offering the best tumour-focused and patient-specific therapy.
Conflict of interest and financial support: none declared.