The role of APC and beta-catenin in the aetiology of aggressive fibromatosis (desmoid tumors)

D. J. Lips, N. Barker, H. Clevers, A. Hennipman

Research output: Contribution to journalReview articlepeer-review

114 Citations (Scopus)


Background: Aggressive fibromatosis (syn. desmoid tumor) is a sporadically occurring neoplastic proliferation of fibroblasts originating from musculoaponeurotic planes, forming invasively growing masses without the capability to metastasize. The choice of treatment remains surgical resection with or without radiotherapy, and is characterized by high recurrence rates. Better understanding of the aetiology of aggressive fibromatosis is needed to be able to develop new treatment strategies to cope with the high recurrence rates. Methods: Relevant studies were identified through a search of the electronic databases PubMed/ Medline. The following search terms were used: 'aggressive fibromatosis', 'desmoid tumor', 'adenomatous polyposis coli', 'APC', 'beta-catenin', 'Wnt', 'Wingless' and 'Wnt/Wingless'. Studies were selected for review on the basis of abstract reading. A hand search was performed by checking reference lists in selected articles. Results: The neoplastic nature of aggressive fibromatosis and the role of the adenomatous polyposis coli (APC) and β-catenin signaling cascade in driving the onset and progression of this disease are discussed. Conclusion: Mutations in either the APC or β-catenin genes are likely to be a major driving force in the formation of these desmoid tumors. More research is needed to develop new treatment strategies.

Original languageEnglish
Pages (from-to)3-10
Number of pages8
JournalEuropean Journal of Surgical Oncology
Issue number1
Publication statusPublished - Jan 2009
Externally publishedYes


  • β-catenin
  • adenomatous polyposis coli
  • desmoid tumor
  • fibromatosis, aggressive


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