{"id":21878,"date":"2024-08-01T13:48:59","date_gmt":"2024-08-01T13:48:59","guid":{"rendered":"https:\/\/www.desmoidtumours.eu\/diagnostico\/"},"modified":"2026-03-12T10:33:26","modified_gmt":"2026-03-12T10:33:26","slug":"diagnostico","status":"publish","type":"page","link":"https:\/\/www.desmoidtumours.eu\/es\/diagnostico\/","title":{"rendered":"Diagn\u00f3stico"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"21878\" class=\"elementor elementor-21878 elementor-20166\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2fe04a1f e-flex e-con-boxed e-con e-parent\" data-id=\"2fe04a1f\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-48778290 elementor-widget elementor-widget-spacer\" data-id=\"48778290\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-eb0d0a5 the7-e-sticky-row-yes e-flex e-con-boxed e-con e-parent\" data-id=\"eb0d0a5\" data-element_type=\"container\" id=\"sub-nav-bar\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;the7_sticky_row&quot;:&quot;yes&quot;,&quot;the7_sticky_row_offset&quot;:116,&quot;the7_sticky_row_offset_tablet_extra&quot;:60,&quot;the7_sticky_row_offset_tablet&quot;:50,&quot;the7_sticky_row_offset_mobile&quot;:60,&quot;the7_sticky_row_devices&quot;:[&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-2ddc3d97 e-con-full e-flex e-con e-child\" data-id=\"2ddc3d97\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5f792ae4 elementor-widget elementor-widget-text-editor\" data-id=\"5f792ae4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><a href=\"#guidelines-recommendations\">Recomendaciones de las directrices<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-322832a2 e-con-full e-flex e-con e-child\" data-id=\"322832a2\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7d1b4e4a elementor-widget elementor-widget-text-editor\" data-id=\"7d1b4e4a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><a href=\"#differential-diagnosis\">Diagn\u00f3stico diferencial<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-63eeefed e-con-full e-flex e-con e-child\" data-id=\"63eeefed\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-26ce227f elementor-widget elementor-widget-text-editor\" data-id=\"26ce227f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><a href=\"#diagnostic-strategies\">Estrategias de diagn\u00f3stico<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6a12e8bd e-con-full e-flex e-con e-parent\" data-id=\"6a12e8bd\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-75fda9eb e-flex e-con-boxed e-con e-child\" data-id=\"75fda9eb\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6190df03 elementor-widget elementor-widget-heading\" data-id=\"6190df03\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Diagn\u00f3stico<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-63d5ab34 e-con-full section e-flex e-con e-parent\" data-id=\"63d5ab34\" data-element_type=\"container\" id=\"guidelines-recommendations\">\n\t\t<div class=\"elementor-element elementor-element-1eb0237f e-flex e-con-boxed e-con e-child\" data-id=\"1eb0237f\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-16c11fc2 e-con-full e-flex e-con e-child\" data-id=\"16c11fc2\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-be983b0 e-con-full e-flex e-con e-child\" data-id=\"be983b0\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4980f76d elementor-widget-tablet__width-inherit elementor-widget elementor-widget-the7-heading\" data-id=\"4980f76d\" data-element_type=\"widget\" data-widget_type=\"the7-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"the7-heading-title elementor-size-default\">Recomendaciones de las directrices<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-517a9d2f elementor-widget-tablet__width-inherit elementor-widget elementor-widget-the7-heading\" data-id=\"517a9d2f\" data-element_type=\"widget\" data-widget_type=\"the7-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"the7-heading-title elementor-size-default\">La colaboraci\u00f3n con especialistas puede mejorar el pron\u00f3stico y la calidad de vida de los pacientes<sup>1,2<\/sup><\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-21bd5c1f e-con-full e-flex e-con e-child\" data-id=\"21bd5c1f\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4a2837c1 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-the7-heading\" data-id=\"4a2837c1\" data-element_type=\"widget\" data-widget_type=\"the7-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5 class=\"the7-heading-title elementor-size-default\">Directrices del DTWG<sup>\u2020*<\/sup><\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a4d87c0 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"a4d87c0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><em><strong>\u201cEn el momento del diagn\u00f3stico inicial se recomienda la derivaci\u00f3n a equipos multidisciplinares con experiencia, para obtener un asesoramiento \u00f3ptimo sobre la seguridad de una estrategia de observaci\u00f3n inicial.<sup>3<\/sup>\u201d<\/strong><\/em><\/p><p><em><strong>\u201cEl tratamiento de los tumores desmoides es complejo y<br \/>se debe llevar a cabo exclusivamente en centros de derivaci\u00f3n de tumores desmoides designados equipados con un comit\u00e9 de tumores multidisciplinar.<sup>*4<\/sup>\u201d<\/strong><\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f8635fd elementor-widget-tablet__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"5f8635fd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<sup>\u2020<\/sup>El DTWG incluye a m\u00e1s de 50 expertos en sarcoma de diferentes disciplinas, as\u00ed como pacientes, y defensores de pacientes de Europa, Norteam\u00e9rica y Jap\u00f3n.<sup>3<\/sup><br \/><sup>*<\/sup>Para actualizar la directriz global de consenso basada en la evidencia de 2020 sobre el tratamiento de pacientes con tumor desmoide, el Desmoid Tumour Working Group convoc\u00f3 una reuni\u00f3n en 2023, alcanzando un consenso sobre los aspectos clave del tratamiento de pacientes con TD.<sup>4<\/sup>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-69293e43 e-con-full e-flex e-con e-child\" data-id=\"69293e43\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6b28e728 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-the7-heading\" data-id=\"6b28e728\" data-element_type=\"widget\" data-widget_type=\"the7-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5 class=\"the7-heading-title elementor-size-default\">Sarcomas viscerales y de tejido blando de la ESMO: Directrices de la pr\u00e1ctica cl\u00ednica ESMO-EURACAN-GENTURIS<\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-33f464f1 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"33f464f1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><em><strong>\u201cUn pat\u00f3logo experto en sarcoma debe realizar un diagn\u00f3stico patol\u00f3gico.<sup>5<\/sup>\u201d<\/strong><\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-562aea29 e-con-full e-flex e-con e-child\" data-id=\"562aea29\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3d5b430f elementor-widget-tablet__width-inherit elementor-widget elementor-widget-the7-heading\" data-id=\"3d5b430f\" data-element_type=\"widget\" data-widget_type=\"the7-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5 class=\"the7-heading-title elementor-size-default\">Directrices de la NCCN<\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-380542c4 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"380542c4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u201cAntes de iniciar el plan de tratamiento, todos los pacientes deben ser evaluados y tratados por un equipo multidisciplinar con experiencia y conocimientos especializados en tumores desmoides.<sup>6<\/sup>\u201d<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-67a5bde7 e-con-full section e-flex e-con e-parent\" data-id=\"67a5bde7\" data-element_type=\"container\" id=\"differential-diagnosis\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-7be5a6c6 e-flex e-con-boxed e-con e-child\" data-id=\"7be5a6c6\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-25f73ae3 e-con-full e-flex e-con e-child\" data-id=\"25f73ae3\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-56e6546b e-con-full e-flex e-con e-child\" data-id=\"56e6546b\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-35018505 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-the7-heading\" data-id=\"35018505\" data-element_type=\"widget\" data-widget_type=\"the7-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"the7-heading-title elementor-size-default\">Diagn\u00f3stico diferencial<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-65ffeb75 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-the7-heading\" data-id=\"65ffeb75\" data-element_type=\"widget\" data-widget_type=\"the7-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"the7-heading-title elementor-size-default\">Lograr un diagn\u00f3stico preciso y oportuno sigue siendo un reto<sup>7<\/sup><\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1d06a29d elementor-widget-tablet__width-inherit bullet-custom elementor-widget elementor-widget-text-editor\" data-id=\"1d06a29d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>El diagn\u00f3stico err\u00f3neo es frecuente en enfermedades raras como los tumores desmoides.<sup>7<\/sup><\/p><ul><li>Se notific\u00f3 que entre el <strong>30 y el 40 %<\/strong> de los casos de tumores desmoides fueron diagnosticados err\u00f3neamente tras un an\u00e1lisis histol\u00f3gico<sup>7<\/sup><\/li><li>El diagn\u00f3stico diferencial es amplio e incluye tanto las proliferaciones fibrobl\u00e1sticas\/miofibrobl\u00e1sticas benignas como malignas, incluidas:<sup>8<\/sup><ul><li>Cicatrices hipertr\u00f3ficas<\/li><li>Queloides y fascitis nodular<\/li><li>Sarcoma fibromixoide de bajo grado<\/li><li>Sarcoma miofibrobl\u00e1stico de bajo grado<\/li><\/ul><\/li><li>Los tumores de la vaina nerviosa como schwannoma, neurofibroma, perineurioma y tumores del m\u00fasculo liso como leiomiomas tambi\u00e9n pueden entrar en el diagn\u00f3stico diferencial<sup>.8<\/sup><\/li><li>El sarcoma fibromixoide de bajo grado representa el diagn\u00f3stico diferencial m\u00e1s dif\u00edcil, ya que puede mostrar un solapamiento morfol\u00f3gico significativo con los tumores desmoides<sup>8<\/sup><\/li><li>Otro diagn\u00f3stico diferencial importante relacionado con los tumores desmoides intraabdominales es el tumor del estroma gastrointestinal (TEGI), ya que algunos casos de tumores desmoides pueden expresar de forma d\u00e9bil y focal KIT<sup> 8<\/sup><\/li><\/ul><p>Un diagn\u00f3stico preciso sigue siendo crucial para planificar el tratamiento de forma adecuada.<sup>8<\/sup><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7410b373 e-con-full section e-flex e-con e-parent\" data-id=\"7410b373\" data-element_type=\"container\" id=\"diagnostic-strategies\">\n\t\t<div class=\"elementor-element elementor-element-7ce6b7b1 e-flex e-con-boxed e-con e-child\" data-id=\"7ce6b7b1\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-43b4ffab e-con-full e-flex e-con e-child\" data-id=\"43b4ffab\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-663cb672 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-the7-heading\" data-id=\"663cb672\" data-element_type=\"widget\" data-widget_type=\"the7-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"the7-heading-title elementor-size-default\">Estrategias de diagn\u00f3stico<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ac5e302 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-the7-heading\" data-id=\"3ac5e302\" data-element_type=\"widget\" data-widget_type=\"the7-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"the7-heading-title elementor-size-default\">El diagn\u00f3stico requiere revisi\u00f3n de los antecedentes m\u00e9dicos y exploraci\u00f3n f\u00edsica, obtenci\u00f3n de im\u00e1genes y biopsia, as\u00ed como evaluaci\u00f3n histopatol\u00f3gica<sup>7<\/sup><\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16544932 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"16544932\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>El diagn\u00f3stico de tumores desmoides debe ser confirmado por un pat\u00f3logo experto en partes blandas.<sup>8<\/sup><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-200f0ea7 no-link bullet-custom content-align-left icon-box-vertical-align-top icon-position-left icon-vertical-align-start elementor-widget elementor-widget-the7_icon_box_grid_widget\" data-id=\"200f0ea7\" data-element_type=\"widget\" data-widget_type=\"the7_icon_box_grid_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"the7-box-grid-wrapper the7-elementor-widget loading-effect-none the7_icon_box_grid_widget-200f0ea7\">\t\t\t<div class=\"dt-css-grid\">\n\t\t\t\t\t\t\t\t\t<div class=\"wf-cell shown\">\n\t\t\t\t\t\t<div class=\"the7-icon-box-grid\">\t\t\t\t\t\t\t<div class=\"box-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-icon-div\" aria-label=\"Obtenci\u00f3n de im\u00e1genes\">\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-icon\">\n\t\t\t\t\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"186\" height=\"186\" viewBox=\"0 0 186 186\" fill=\"none\"><g clip-path=\"url(#clip0_316_1048)\"><g clip-path=\"url(#clip1_316_1048)\"><path opacity=\"0.3\" d=\"M173.66 12.22C157.36 -4.08 130.95 -4.08 114.65 12.22C108.36 18.51 104.56 26.3 103.13 34.43C103.09 34.62 103.03 34.75 102.99 34.93C98.6599 57.59 103.65 73.86 75.0599 102.46C46.4599 131.05 42.7899 123.43 19.2599 131.29L19.3399 131.38C15.2799 132.7 11.4299 134.86 8.19994 138.08C-2.73006 149.02 -2.73006 166.74 8.19994 177.67C19.1399 188.61 36.8599 188.61 47.7899 177.67C51.0199 174.44 53.1799 170.59 54.4999 166.53L54.5899 166.61C62.4499 143.07 54.8299 139.41 83.4199 110.81C112.01 82.21 128.29 87.2 150.95 82.88C151.14 82.85 151.26 82.78 151.44 82.74C159.58 81.31 167.38 77.5 173.66 71.21C189.96 54.92 189.96 28.5 173.66 12.2\" fill=\"#05C0DA\"><\/path><path d=\"M109.84 137.97C125.28 137.97 137.8 117.81 137.8 92.9501C137.8 68.08 125.28 47.9301 109.84 47.9301C97.33 47.9301 86.74 61.1601 83.17 79.4001\" fill=\"white\"><\/path><path d=\"M109.84 47.92H136.41C151.85 47.92 164.37 68.08 164.37 92.94C164.37 117.81 151.85 137.96 136.41 137.96H109.84H86.0601\" fill=\"white\"><\/path><path d=\"M126.24 101.09H27.8501C25.0701 101.09 22.8201 103.34 22.8201 106.12C22.8201 108.9 25.0701 111.15 27.8501 111.15H80.4501H112.8\" fill=\"white\"><\/path><path d=\"M101.2 90.51C94.0901 89.13 89.9701 83.04 72.5501 85.82C67.1001 86.69 62.8601 92.94 39.1401 92.94C34.0701 92.94 34.0201 97.53 34.0701 100.62\" fill=\"white\"><\/path><path d=\"M91.22 93.6901H77.52C75.32 93.8701 74.03 94.5801 73.87 96.5901C73.71 98.6001 75.11 100.92 76.99 101.09H97\" fill=\"white\"><\/path><path d=\"M110.11 101.09C114.55 101.09 118.15 97.58 118.15 93.24C118.15 88.91 114.4 86.53 110.11 85.4C103.82 83.74 100.56 85.9 100.56 95.33\" fill=\"white\"><\/path><path d=\"M46.22 129.03C43.83 129.03 41.89 127.03 41.89 124.56C41.89 122.09 43.83 120.09 46.22 120.09H86.06C88.45 120.09 90.39 122.09 90.39 124.56C90.39 127.03 88.45 129.03 86.06 129.03H46.22Z\" fill=\"white\"><\/path><path d=\"M46.22 137.97C43.83 137.97 41.89 135.97 41.89 133.5C41.89 131.03 43.83 129.03 46.22 129.03H86.06C88.45 129.03 90.39 131.03 90.39 133.5C90.39 135.97 88.45 137.97 86.06 137.97H46.22Z\" fill=\"white\"><\/path><path d=\"M46.22 120.1C43.83 120.1 41.89 118.1 41.89 115.63C41.89 113.16 43.83 111.16 46.22 111.16H86.06C88.45 111.16 90.39 113.16 90.39 115.63C90.39 118.1 88.45 120.1 86.06 120.1H46.22Z\" fill=\"white\"><\/path><path d=\"M99.21 118.44C102.11 123.09 105.82 125.88 109.88 125.88C119.21 125.88 126.77 111.13 126.77 92.94C126.77 74.75 119.21 60 109.88 60C102.67 60 96.51 68.82 94.09 81.23\" fill=\"white\"><\/path><path d=\"M109.84 137.97C125.28 137.97 137.8 117.81 137.8 92.9501C137.8 68.08 125.28 47.9301 109.84 47.9301C97.33 47.9301 86.74 61.1601 83.17 79.4001\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M109.84 47.92H136.41C151.85 47.92 164.37 68.08 164.37 92.94C164.37 117.81 151.85 137.96 136.41 137.96H109.84H86.0601\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M126.24 101.09H27.8501C25.0701 101.09 22.8201 103.34 22.8201 106.12C22.8201 108.9 25.0701 111.15 27.8501 111.15H80.4501H112.8\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M21.52 137.97H58.78\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M101.2 90.51C94.0901 89.13 89.9701 83.04 72.5501 85.82C67.1001 86.69 62.8601 92.94 39.1401 92.94C34.0701 92.94 34.0201 97.53 34.0701 100.62\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M91.22 93.6901H77.52C75.32 93.8701 74.03 94.5801 73.87 96.5901C73.71 98.6001 75.11 100.92 76.99 101.09H97\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M110.11 101.09C114.55 101.09 118.15 97.58 118.15 93.24C118.15 88.91 114.4 86.53 110.11 85.4C103.82 83.74 100.56 85.9 100.56 95.33\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M46.22 129.03C43.83 129.03 41.89 127.03 41.89 124.56C41.89 122.09 43.83 120.09 46.22 120.09H86.06C88.45 120.09 90.39 122.09 90.39 124.56C90.39 127.03 88.45 129.03 86.06 129.03H46.22Z\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M46.22 137.97C43.83 137.97 41.89 135.97 41.89 133.5C41.89 131.03 43.83 129.03 46.22 129.03H86.06C88.45 129.03 90.39 131.03 90.39 133.5C90.39 135.97 88.45 137.97 86.06 137.97H46.22Z\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M46.22 120.1C43.83 120.1 41.89 118.1 41.89 115.63C41.89 113.16 43.83 111.16 46.22 111.16H86.06C88.45 111.16 90.39 113.16 90.39 115.63C90.39 118.1 88.45 120.1 86.06 120.1H46.22Z\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M99.21 118.44C102.11 123.09 105.82 125.88 109.88 125.88C119.21 125.88 126.77 111.13 126.77 92.94C126.77 74.75 119.21 60 109.88 60C102.67 60 96.51 68.82 94.09 81.23\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><\/g><\/g><defs><clipPath id=\"clip0_316_1048\"><rect width=\"186\" height=\"186\" fill=\"white\"><\/rect><\/clipPath><clipPath id=\"clip1_316_1048\"><rect width=\"185.89\" height=\"185.89\" fill=\"white\"><\/rect><\/clipPath><\/defs><\/svg>\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"box-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h5 class=\"box-heading\">\n\t\t\t\t\t\t\t\t\t\t\t<a aria-label=\"Obtenci\u00f3n de im\u00e1genes\">\t\t\t\t\t\t\t\t\t\t\t\tObtenci\u00f3n de im\u00e1genes\t\t\t\t\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"box-description\"><p>La ecograf\u00eda puede utilizarse como imagen de primera l\u00ednea, pero si existe alguna sospecha de sarcoma de partes blandas (STS), debe ir seguida de tomograf\u00eda axial computarizada (TAC) o resonancia magn\u00e9tica (RM).<sup>5<\/sup><\/p>\n\n<p>En los tumores primarios de tejidos blandos, la RM es la modalidad de obtenci\u00f3n de im\u00e1genes principal en las extremidades, la pelvis y el tronco.<sup>5<\/sup><\/p>\n\n<p>Las radiograf\u00edas est\u00e1ndar pueden ser \u00fatiles para descartar un tumor \u00f3seo, para detectar erosi\u00f3n \u00f3sea con riesgo de fractura y para mostrar calcificaciones.<sup>5<\/sup><\/p>\n\n<p>La TAC puede descartar una miositis osificante en las lesiones calcificadas, y desempe\u00f1a un papel en los sarcomas pleuropulmonares y en los sarcomas retroperitoneales (PRP) en los que el rendimiento es id\u00e9ntico al de la RM.<sup>5<\/sup><\/p> \n\n<p>Las caracter\u00edsticas de alto riesgo deber\u00edan dar lugar a la verificaci\u00f3n mediante biopsia:<sup>9<\/sup><\/p>\n<ul>\n<li>Aumento reciente del tama\u00f1o<\/li>\n<li>Ubicaci\u00f3n profunda en relaci\u00f3n con la fascia<\/li>\n<li>Tama\u00f1o >4 cm<\/li>\n<li>Patrones de crecimiento invasivos observados en las im\u00e1genes<\/li>\n<\/ul>\n<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"wf-cell shown\">\n\t\t\t\t\t\t<div class=\"the7-icon-box-grid\">\t\t\t\t\t\t\t<div class=\"box-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-icon-div\" aria-label=\"Biopsia por punci\u00f3n con aguja gruesa y tinci\u00f3n nuclear con \u03b2-catenina\">\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-icon\">\n\t\t\t\t\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"186\" height=\"186\" viewBox=\"0 0 186 186\" fill=\"none\"><g clip-path=\"url(#clip0_316_1047)\"><g clip-path=\"url(#clip1_316_1047)\"><path opacity=\"0.3\" d=\"M173.66 12.22C157.36 -4.08 130.95 -4.08 114.65 12.22C108.36 18.51 104.56 26.3 103.13 34.43C103.09 34.62 103.03 34.75 102.99 34.93C98.6599 57.59 103.65 73.86 75.0599 102.46C46.4599 131.05 42.7899 123.43 19.2599 131.29L19.3399 131.38C15.2799 132.7 11.4299 134.86 8.19994 138.08C-2.73006 149.02 -2.73006 166.74 8.19994 177.67C19.1399 188.61 36.8599 188.61 47.7899 177.67C51.0199 174.44 53.1799 170.59 54.4999 166.53L54.5899 166.61C62.4499 143.07 54.8299 139.41 83.4199 110.81C112.01 82.21 128.29 87.2 150.95 82.88C151.14 82.85 151.26 82.78 151.44 82.74C159.58 81.31 167.38 77.5 173.66 71.21C189.96 54.92 189.96 28.5 173.66 12.2\" fill=\"#05C0DA\"><\/path><path d=\"M147.796 55.8709L130.027 38.1013L100.484 67.6442L118.253 85.4138L147.796 55.8709Z\" fill=\"white\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M114.214 81.3812L104.52 71.6868L94.8251 81.3812L104.52 91.0756L114.214 81.3812Z\" fill=\"white\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M99.67 86.22L25.98 159.91\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M109.17 58.96L103.01 52.8C98.78 48.57 98.78 41.71 103.01 37.48C107.24 33.25 114.1 33.25 118.34 37.48L124.5 43.64\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M142.26 61.4L148.42 67.56C152.65 71.79 152.65 78.65 148.42 82.89C144.19 87.12 137.33 87.12 133.09 82.89L126.93 76.73\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M155.889 39.6908L146.195 29.9963L134.061 42.1303L143.755 51.8247L155.889 39.6908Z\" fill=\"white\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M165.91 49.71L136.18 19.98\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><\/g><\/g><defs><clipPath id=\"clip0_316_1047\"><rect width=\"186\" height=\"186\" fill=\"white\"><\/rect><\/clipPath><clipPath id=\"clip1_316_1047\"><rect width=\"185.89\" height=\"185.89\" fill=\"white\"><\/rect><\/clipPath><\/defs><\/svg>\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"box-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h5 class=\"box-heading\">\n\t\t\t\t\t\t\t\t\t\t\t<a aria-label=\"Biopsia por punci\u00f3n con aguja gruesa y tinci\u00f3n nuclear con \u03b2-catenina\">\t\t\t\t\t\t\t\t\t\t\t\tBiopsia por punci\u00f3n con aguja gruesa y tinci\u00f3n nuclear con \u03b2-catenina\t\t\t\t\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"box-description\"><p>Tras la evaluaci\u00f3n por imagen adecuada, el enfoque est\u00e1ndar para el diagn\u00f3stico consiste en m\u00faltiples biopsias por punci\u00f3n con aguja gruesa, posiblemente utilizando agujas \u226514-16 G.<sup>5<\/sup><\/p>\n\n<p>Una biopsia por escisi\u00f3n puede ser la opci\u00f3n m\u00e1s pr\u00e1ctica para <3 cm superficial lesions. An open biopsy may be another option in selected cases, when decided within reference centres.<sup>5<\/sup><\/p>\n\n<p>Una biopsia puede subestimar el grado de neoplasia maligna. Por lo tanto, cuando el tratamiento preoperatorio es una opci\u00f3n, las im\u00e1genes radiol\u00f3gicas [incluida la tomograf\u00eda por emisi\u00f3n de positrones\/TAC con [<sup>18<\/sup>F]2-fluoro-2-desoxi-D-glucosa (FDG\/TEP\u2044TAC)] pueden ser \u00fatiles, adem\u00e1s de la patolog\u00eda, para proporcionar informaci\u00f3n que ayude a calcular el grado de neoplasia maligna.<sup>5<\/sup><\/p>\n\n<p>La evaluaci\u00f3n histopatol\u00f3gica y la inmunotinci\u00f3n de la \u03b2-catenina son importantes para el diagn\u00f3stico de tumores desmoides.<sup>10<\/sup><\/p>\n\n<p>La directriz del DTWG identifica la positividad nuclear de la \u03b2-catenina como la caracter\u00edstica inmunofenot\u00edpica clave de los tumores desmoides.<sup>8<\/sup><\/p>\n\n<p>Se ha notificado la presencia de inmunopositividad nuclear para la \u03b2-catenina en el 80 % al 98 % de los casos de tumores desmoides espor\u00e1dicos y en el 60 % al 70 % de los casos de tumores desmoides asociados a la poliposis adenomatosa familiar (PAF).<sup>8<\/sup><\/p> <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"wf-cell shown\">\n\t\t\t\t\t\t<div class=\"the7-icon-box-grid\">\t\t\t\t\t\t\t<div class=\"box-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-icon-div\" aria-label=\"Pruebas gen\u00e9ticas\">\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-icon\">\n\t\t\t\t\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"186\" height=\"186\" viewBox=\"0 0 186 186\" fill=\"none\"><g clip-path=\"url(#clip0_316_1046)\"><g clip-path=\"url(#clip1_316_1046)\"><path opacity=\"0.3\" d=\"M173.66 12.22C157.36 -4.08 130.95 -4.08 114.65 12.22C108.36 18.51 104.56 26.3 103.13 34.43C103.09 34.62 103.03 34.75 102.99 34.93C98.6599 57.59 103.65 73.86 75.0599 102.46C46.4599 131.05 42.7899 123.43 19.2599 131.29L19.3399 131.38C15.2799 132.7 11.4299 134.86 8.19994 138.08C-2.73006 149.02 -2.73006 166.74 8.19994 177.67C19.1399 188.61 36.8599 188.61 47.7899 177.67C51.0199 174.44 53.1799 170.59 54.4999 166.53L54.5899 166.61C62.4499 143.07 54.8299 139.41 83.4199 110.81C112.01 82.21 128.29 87.2 150.95 82.88C151.14 82.85 151.26 82.78 151.44 82.74C159.58 81.31 167.38 77.5 173.66 71.21C189.96 54.92 189.96 28.5 173.66 12.2\" fill=\"#05C0DA\"><\/path><path d=\"M43.79 115.19C33.61 110.83 21.72 115.19 13.92 123Z\" fill=\"white\"><\/path><path d=\"M131.72 77.5C155.72 86.87 167.31 75.41 167.31 75.41Z\" fill=\"white\"><\/path><path d=\"M59.8001 168.88C71.1001 157.57 75.0801 142.77 62.8801 125.04C37.4701 88.12 52.4201 73.12 59.2201 66.26C67.4101 58.08 81.3801 57.16 95.2001 61.92\" fill=\"white\"><\/path><path d=\"M108.69 16.79C97.3901 28.1 100.43 49.92 112.63 67.65C138.04 104.57 123.09 119.57 116.29 126.43C108.1 134.61 94.1301 135.53 80.3101 130.77\" fill=\"white\"><\/path><path d=\"M43.79 115.19C33.61 110.83 21.72 115.19 13.92 123\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M131.72 77.5C155.72 86.87 167.31 75.41 167.31 75.41\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M59.8001 168.88C71.1001 157.57 75.0801 142.77 62.8801 125.04C37.4701 88.12 52.4201 73.12 59.2201 66.26C67.4101 58.08 81.3801 57.16 95.2001 61.92\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M71 79.6001L104.5 113.09\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M121.25 29.3501L154.75 62.8501\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M121.25 50.29L133.81 62.85\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M23.76 132.84L52.26 161.34\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M41.6901 129.84L54.2601 142.4\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M87.75 75.4102L108.69 96.3401\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M66.8201 96.3401L87.7501 117.28\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><path d=\"M108.69 16.79C97.3901 28.1 100.43 49.92 112.63 67.65C138.04 104.57 123.09 119.57 116.29 126.43C108.1 134.61 94.1301 135.53 80.3101 130.77\" stroke=\"#005EA7\" stroke-width=\"3.52\" stroke-miterlimit=\"10\"><\/path><\/g><\/g><defs><clipPath id=\"clip0_316_1046\"><rect width=\"186\" height=\"186\" fill=\"white\"><\/rect><\/clipPath><clipPath id=\"clip1_316_1046\"><rect width=\"185.89\" height=\"185.89\" fill=\"white\"><\/rect><\/clipPath><\/defs><\/svg>\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"box-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h5 class=\"box-heading\">\n\t\t\t\t\t\t\t\t\t\t\t<a aria-label=\"Pruebas gen\u00e9ticas\">\t\t\t\t\t\t\t\t\t\t\t\tPruebas gen\u00e9ticas\t\t\t\t\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"box-description\"><p>Las mutaciones de CTNNB1 y APC son mutuamente excluyentes en los tumores desmoides, por lo que la detecci\u00f3n de una mutaci\u00f3n som\u00e1tica en CTNNB1 puede ayudar a excluir una afecci\u00f3n sindr\u00f3mica. Por el contrario, el estado de CTNNB1 de tipo natural en tumores desmoides, especialmente en un tumor intraabdominal, debe\naumentar la sospecha de PAF y requerir un estudio cl\u00ednico diagn\u00f3stico m\u00e1s exhaustivo (p. ej., colonoscopia o pruebas de la l\u00ednea germinal).<sup>8<\/sup><\/p>\n\n<p>Por lo tanto, la <strong>directriz de consenso de DTWG recomienda realizar un an\u00e1lisis mutacional en muestras de biopsia tumoral desmoides para confirmar el diagn\u00f3stico y guiar el estudio diagn\u00f3stico cuando proceda<\/strong>.<sup>8<\/sup><\/p>\n<ul>\n<li>Entre el 85 % y el 90 % de los tumores desmoides son espor\u00e1dicos y se asocian con mayor frecuencia a mutaciones activadoras del gen de la \u03b2-catenina CTNNB1<sup>11<\/sup><\/li>\n<li>Entre el 10 % y el 15 % de los tumores desmoides son sindr\u00f3micos en el contexto de la PAF y se asocian a mutaciones inactivadoras de la l\u00ednea germinal en el gen APC<sup>11<\/sup>^^<\/li>\n<\/ul><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f264dfe elementor-widget elementor-widget-the7_button_widget\" data-id=\"1f264dfe\" data-element_type=\"widget\" data-widget_type=\"the7_button_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-button-wrapper\"><a href=\"\/es\/abordaje\/\" class=\"box-button elementor-button elementor-size-md\">M\u00e1s informaci\u00f3n sobre el tratamiento del tumor desmoide<\/a><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-70582f0b elementor-widget-tablet__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"70582f0b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>APC, Gen de la poliposis adenomatosa coli; TAC, Tomograf\u00eda computarizada; CTNNB1, Gen de la Catenina \u03b21; PAF, Poliposis adenomatosa familiar; DTWG Grupo de trabajo de tumores desmoides; ESMO Sociedad Europea de Oncolog\u00eda M\u00e9dica; FDG-TEP\/TAC, Tomograf\u00eda por emisi\u00f3n de positrones con <sup>18<\/sup>F-2-Fluoro-2-Deoxi-D-Glucosa\/TAC; TEGI, Tumor del estroma gastrointestinal; KIT protooncog\u00e9n, oncog\u00e9n del receptor de tirosina cinasa; RM, Resonancia magn\u00e9tica nuclear; NCCN Red Nacional Integral del C\u00e1ncer; RPS, Sarcoma retroperitoneal; STS, Sarcoma de tejidos blandos.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1a1af8ab e-con-full e-flex e-con e-parent\" data-id=\"1a1af8ab\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-7df05464 e-flex e-con-boxed e-con e-child\" data-id=\"7df05464\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-32c1e251 e-con-full e-flex e-con e-child\" data-id=\"32c1e251\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-374d6e4d elementor-widget elementor-widget-the7-accordion\" data-id=\"374d6e4d\" data-element_type=\"widget\" data-widget_type=\"the7-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-accordion the7-adv-accordion\" data-accordion-type=\"accordion\" role=\"tablist\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h5 id=\"elementor-tab-title-9271\" class=\"elementor-tab-title the7-accordion-header deactive-default\" data-tab=\"1\" role=\"tab\" aria-controls=\"elementor-tab-content-9271\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" href=\"\">Referencias<\/a>\n\t\t\t\t\t<\/h5>\n\t\t\t\t\t<div id=\"elementor-tab-content-9271\" class=\"elementor-tab-content elementor-clearfix deactive-default\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-9271\"><ol><li>Husson O et al. Desmoid fibromatosis through the patients\u2019 eyes: time to change the focus and organisation of care? <em>Support Care Cancer<\/em>. 2019;27(3):965-980. doi: 10.1007\/s00520-018-4386-8.<\/li><li>Joglekar SB et al. Current perspectives on desmoid tumors: the Mayo Clinic approach. <em>Cancers<\/em> (<em>Basel<\/em>). 2011;3(3):3143-3155. doi: 10.3390\/cancers3033143.<\/li><li>Gronchi A et al. Desmoid Tumor Working Group. The management of desmoid tumours: a joint global consensus-based guideline approach for adult and paediatric patients. <em>Eur J Cancer<\/em>. 2020;127:96-107. doi: 10.1016\/j.ejca.2019.11.013.<\/li><li>Kasper B et al. Desmoid Tumor Working Group. Current management of desmoid tumors: a review. <em>JAMA Oncol<\/em>. 2024; 10(8):1121-1128. doi: 10.1001\/jamaoncol.2024.1805.<\/li><li>Gronchi A et al. ESMO Guidelines Committee, EURACAN and GENTURIS. Soft tissue and visceral sarcomas: ESMO-EURACAN-GENTURIS Clinical Practice Guidelines for diagnosis, treatment and follow-up. <em>Ann Oncol<\/em>. 2021;32(11):1348-1365. doi: 10.1016\/j.annonc.2021.07.006.<\/li><li>Tomado como referencia con permiso de NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines\u00ae) for Soft Tissue Sarcoma V.1.2024. \u00a9 National Comprehensive Cancer Network, Inc. 2024. Todos los derechos reservados. Consultado el 29 de abril de 2024. Para ver la versi\u00f3n m\u00e1s reciente y completa de las directrices, visite NCCN.org. La NCCN no ofrece ninguna garant\u00eda de ning\u00fan tipo en relaci\u00f3n con su contenido, uso o aplicaci\u00f3n y rechaza cualquier responsabilidad sobre su aplicaci\u00f3n o uso de cualquier forma.<\/li><li>Bektas M et al. Desmoid tumors: a comprehensive review. <em>Adv Ther<\/em>. 2023;40(9):3697-3722. doi: 10.1007\/s12325-023-02592-0.<\/li><li>Kasper B et al. Desmoid tumor working group. Current management of desmoid tumors: a review. [supplementary appendix] <em>JAMA Oncol<\/em>. 2024;10(8):1121-1128. doi: 10.1001\/jamaoncol.2024.1805.<\/li><li>Smolle MA et al. Diagnosis and treatment of soft-tissue sarcomas of the extremities and trunk. <em>EFORT<\/em> <em>Open Rev<\/em>. 2017;2(10):421-431. doi: 10.1302\/2058-5241.2.170005.<\/li><li>Carlson JW et al. Immunohistochemistry for \u03b2-catenin in the differential diagnosis of spindle cell lesions: analysis of a series and review of the literature. <em>Histopathology<\/em>. 2007;51(4):509-514. doi: 10.1111\/j.1365-2559.2007.02794.x.<\/li><li>Penel N et al. Adult desmoid tumors: biology, management and ongoing trials. <em>Curr Opin Oncol<\/em>. 2017;29(4):268-274. doi: 10.1097\/CCO.0000000000000374.<\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Recomendaciones de las directrices Diagn\u00f3stico diferencial Estrategias de diagn\u00f3stico Diagn\u00f3stico Recomendaciones de las directrices La colaboraci\u00f3n con especialistas puede mejorar el pron\u00f3stico y la calidad de vida de los pacientes1,2 Directrices del DTWG\u2020* \u201cEn el momento del diagn\u00f3stico inicial se recomienda la derivaci\u00f3n a equipos multidisciplinares con experiencia, para obtener un asesoramiento \u00f3ptimo sobre la&hellip;<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":true,"footnotes":""},"class_list":["post-21878","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tumores desmoides: Diagn\u00f3stico | SpringWorks Therapeutics<\/title>\n<meta name=\"description\" content=\"Explore estrategias diagn\u00f3sticas y recomendaciones basadas en directrices para la participaci\u00f3n de equipos multidisciplinares con experiencia y conocimientos especializados en tumores desmoides.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.desmoidtumours.eu\/es\/diagnostico\/\" \/>\n<meta property=\"og:locale\" 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