What is the recommended approach for a 7 cm x 5 cm paraspinal subcutaneous desmoid tumor (T6 to T9) incidentally detected on PET CT during NSCLC monitoring, with confirmed growth over 18 months?  

Medical management is the preferred treatment for patients with desmoid tumors when the DT either causes symptoms (pain, deformity) or has confirmed growth by RECIST criteria over at least 6 months. If this patient has a DT that is worsening over 18 months and threatens the integrity of the spine, t...