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What Desmoid Tumors Look Like: A Visual Guide

Medically reviewed by Richard F. Riedel, M.D.
Posted on January 13, 2026

Key Takeaways

  • Desmoid tumors are rare, noncancerous growths that develop in connective tissue throughout the body and can grow aggressively even though they don't spread to other areas.
  • View full summary

Desmoid tumors are rare growths that develop in the connective tissue, the tissue that helps support and hold your body together. These tumors are benign (noncancerous), meaning they don’t spread to other parts of the body, but they can still grow aggressively where they form. Desmoid tumors can appear in almost any part of the body, including the arms, legs, abdomen, and chest.

In this visual guide, we’ll describe what desmoid tumors look like in different parts of the body. Everyone’s experience with desmoid tumors is unique, but understanding their typical appearance and behavior can help you know what to watch for and when to talk with your doctor.

Why Do Desmoid Tumors Look the Way They Do?

To understand why desmoid tumors can look so different from one another, it helps to know how they develop. Desmoid tumors begin in fibroblasts, a type of cell found in connective tissue that helps the body heal and repair itself.

Because connective tissue is found throughout the body, desmoid tumors can appear in many places. Their appearance can vary based on several factors, including:

  • Size — Some desmoid tumors are small (just a few centimeters across), while others can grow larger than 10 centimeters.
  • Location — Tumors that grow near the surface of the skin may be easier to see or feel, while deeper tumors may not be visible at all.
  • Shape — Desmoid tumors may look smooth and rounded at first, but if they spread into surrounding tissue, they may develop an irregular or uneven shape.

Desmoid Tumors by Location

Let’s break down how desmoid tumors present differently in different parts of the body. These tumors can be classified as intra-abdominal (within the abdomen) or extra-abdominal (outside the abdomen).

Intra-Abdominal Desmoid Tumors

Intra-abdominal desmoid tumors grow deep inside the abdomen. Connective tissue called mesentery holds your internal organs in place, which can be the site of growth for desmoid tumors. These are harder to detect because they aren’t visible outside the body.

Because they’re deep inside the abdomen, you can’t see or feel these tumors. Instead, they’re typically detected with imaging tests such as ultrasound, CT scan, or MRI. In these images, they may appear as smooth, solid masses of various sizes and shapes.

Axial CT scan of the abdomen showing a well-defined, solid intra-abdominal mass consistent with a desmoid tumor, located near the midline and displacing adjacent structures.
Desmoid tumors that grow inside the abdomen are detected using imaging, such as CT or MRI scans. This scan shows an intra-abdominal tumor affecting nearby tissues. CC BY-NC 4.0/João José Fagundes et al.)

While you can’t see these tumors from the outside, you may have some symptoms from them. Most commonly, desmoid tumors are asymptomatic. People with symptoms may experience pain, bloating, abdominal fullness, or changes in urinary or bowel habits.

Abdominal Wall Tumors

Desmoid tumors can develop in the abdominal wall, usually around the rectus (six-pack) muscles. This location is sometimes associated with pregnancy, as changes in estrogen levels may promote desmoid tumor growth.

Slightly distended abdomen with a faint vertical linea nigra and a subtle mass beneath the skin near the umbilicus on light skin, consistent with a desmoid tumor post-pregnancy.
The abdominal wall is one of the possible locations for desmoid tumors. As pictured above, sometimes they develop after pregnancy. (CC BY-SA-4.0/Liquan Jin et al.)

People with tumors in this location may notice a firm, quickly or slowly growing mass beneath the skin. The skin around it usually looks normal, without any color changes. Abdominal wall desmoid tumors may vary greatly in tumor size, from a small bump to a large protrusion. Unless it grows exactly in the center, an abdominal wall tumor will appear one-sided and asymmetric, affecting either the right or left part of the abdomen.

Besides noticing a visible bulge or firm spot in your belly, you may have mild discomfort or tightness with certain types of movement.

Shoulder, Arm, and Hand Desmoid Tumors

Among extra-abdominal desmoid tumors, about one-third occur in the shoulders and upper arm. These tumors typically grow within muscle or connective tissue in the upper body.

MRI images of the shoulder showing a large, well-defined soft tissue mass labeled as a desmoid tumor (Tu) adjacent to the humerus (Hu) and displacing surrounding structures.
This MRI scan shows a desmoid tumor in the musculature of the shoulder. (CC BY-NC-ND 4.0/Peter Stollwerck et al.)

The tumor may appear as a firm, rounded lump beneath the skin or muscle. With muscle use, the lump may become more obvious. Like other desmoid tumors, upper body tumors may range in size but become more noticeable the larger they get.

Other than changes in appearance, you may notice aching, soreness, limited range of motion, or tingling in the hands.

Leg, Thigh, and Hip Desmoid Tumors

Like upper body desmoid tumors, the lower body is a common site for desmoid tumors outside the abdomen.

Large, firm, smooth mass causing visible swelling of the calf on a person with light skin, consistent with a desmoid tumor of the lower leg.
Desmoid tumors can grow in the calves, causing the leg to look misshapen. (CC BY 4.0/Siddharth B. Joglekart et al.)

These tumors also look like solid, firm lumps. You may notice that one leg is fuller than the other, or that your muscles appear to be shaped differently in the affected leg. Sometimes they may cause discoloration or swelling in your leg.

Other symptoms may include heaviness, weakness, or discomfort with physical activity.

Head and Neck Desmoid Tumors

In about 10 percent of cases, extra-abdominal desmoid tumors grow in the head or neck area — including the jaw, neck, or deep facial tissues. Because these are such delicate and visible parts of the body with many nerves and little fat, even small tumors may be noticeable.

Firm, irregular swelling on the left side of the neck with a faint surgical scar on light skin, consistent with a desmoid tumor in the cervical region.
Desmoid tumors can grow in the neck, creating a noticeable bulge. (CC BY 4.0/Kipras Pribuišis et al.)

These tumors may appear as firm, well-defined lumps or swelling that stretch the skin. In the jaw, these tumors may alter the shape of your face.

Outside of changes to your facial appearance, you may notice tightness with head or neck movements or even difficulty swallowing. When a tumor invades the nerve, it can cause pain.

Chest Wall and Trunk Desmoid Tumors

Chest wall and trunk desmoid tumors are not as common as upper or lower extremity tumors. However, they can grow larger than in other locations because there’s room to expand. They may develop in back muscles, between ribs, or along the torso.

Visible, firm swelling on the anterior chest wall of a child with light skin, shown alongside ultrasound, CT, and MRI images confirming a well-defined chest wall desmoid tumor.
Desmoid tumors in the chest wall can grow larger than some other areas. They can stick out, leading to an unusual appearance. (CC BY-SA 4.0/Santiago A. Endara et al.)

The tumor appears as a firm swelling in the chest or back. The mass may change size or shape with breathing or position. Tumors may even invade part of the lung, called the pleura.

Other than a visible mass, you may notice chest tightness, discomfort when lying on one side, or discomfort with deep breathing.

When To See a Doctor About Appearance Changes

It’s important to contact your doctor anytime you notice:

  • A new lump anywhere on your body
  • A firm mass that hasn’t been evaluated or appears to be growing
  • One limb that looks larger than another

Most lumps are not desmoid tumors, but medical evaluation can help clarify the cause and determine the need for intervention.

If you already are diagnosed with a desmoid tumor, it’s important to reach out to your healthcare team if you notice any changes in the size of your tumor or other symptoms. These could be signs that your tumor is progressing. Your doctor can work with you to determine if you need to adjust your treatment plan.

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