|
|
腹外型韧带样纤维瘤病1例
|
Abstract:
目的：探讨韧带样纤维瘤病的临床特点、误诊原因及防范措施。方法：对2022年10月收治的1例曾被误诊为增生性肌炎的韧带样纤维瘤病患者的临床资料进行回顾性分析。结果：1例因左大腿快速增长的疼痛性肿物入院患者，曾误诊为增生性肌炎，入院后经多学科医师会诊，给予手术治疗，术后病理及免疫组织化学检查明确诊断韧带样纤维瘤病，术后恢复良好，尚在随访中，无复发。结论：韧带样纤维瘤病的临床误诊率高，病理及免疫组织化学检查可明确诊断。临床医师应加强对其认识，认真鉴别诊断，以减少和避免该病误诊误治。
Objective: To investigate the clinical features, causes of misdiagnosis and preventive measures of desmoid fibromatosis. Methods: The clinical data of a patient with desmoid fibromatosis who was misdiagnosed as proliferative myositis in October 2022 were analyzed retrospectively. Results: One patient was misdiagnosed as proliferative myositis because of a painful mass growing rapidly in his left thigh. After admission, he was consulted by a multi-disciplinary physician and was given surgical treatment, the diagnosis of desmoid fibromatosis was confirmed by pathology and immuno-histochemistry after operation. The postoperative recovery is good and still in follow-up, with no recurrence. Conclusions: The misdiagnosis rate of desmoid fibromatosis is high. The diagnosis can be made by pathological and immunohistochemical examination. Clinicians should pay more attention to its differential diagnosis so as to avoid misdiagnosis and mistreatment.
| [1] | 焦裕荣, 谢海艇, 王六红, 等. 乙状结肠癌术后盆腔新发韧带样纤维瘤病一例[J]. 实用肿瘤杂志, 2024, 39(4): 375-378. |
| [2] | Sandberg, A.A. and Bridge, J.A. (2002) Updates on the Cytogenetics and Molecular Genetics of Bone and Soft Tissue Tumors. Cancer Genetics and Cytogenetics, 132, 1-13. https://doi.org/10.1016/s0165-4608(01)00528-3 |
| [3] | He, L.-C., Zhang, N., Zeng, X.-J., et al. (2012) A Large Desmoids-Type Fibromatosis in Left Deep Buttock and Thigh. Quantitative Imaging in Medicine and Surgery, 2, 142-144. |
| [4] | Li Destri, G., Ferraro, M.J., Calabrini, M., Pennisi, M. and Magro, G. (2014) Desmoid-Type Fibromatosis of the Mesentery: Report of a Sporadic Case with Emphasis on Differential Diagnostic Problems. Case Reports in Medicine, 2014, 1-7. https://doi.org/10.1155/2014/850180 |
| [5] | Kreuzberg, B., Koudelova, J., Ferda, J., Treska, V., Spidlen, V. and Mukensnabl, P. (2007) Diagnostic Problems of Abdominal Desmoid Tumors in Various Locations. European Journal of Radiology, 62, 180-185. https://doi.org/10.1016/j.ejrad.2007.01.034 |
| [6] | 杨杨, 徐惠君, 张菁, 等. 超声对腹壁型及腹外型韧带样纤维瘤的诊断价值[J]. 肿瘤影像学, 2020, 29(6): 574-578. |
| [7] | Sheth, P.J., del Moral, S., Wilky, B.A., Trent, J.C., Cohen, J., Rosenberg, A.E., et al. (2016) Desmoid Fibromatosis: MRI Features of Response to Systemic Therapy. Skeletal Radiology, 45, 1365-1373. https://doi.org/10.1007/s00256-016-2439-y |
| [8] | 宋立伟, 李京芬, 李景春. 左下肢股部增生性肌炎1例报道[J]. 中国普外基础与临床杂志, 2015, 22(9): 1123. |
| [9] | 赵宜凡. 大腿增生性肌炎超声表现1例[J]. 中国超声医学杂志, 2013, 29(11): 986. |
| [10] | 张司敏, 李睿, 韩彤亮. 增生性肌炎的彩色多普勒超声声像图特征并文献复习[J]. 中华诊断学电子杂志, 2018, 6(3): 181-184. |
| [11] | 张妮, 罗振东, 陈卫国, 等. 软组织韧带样纤维瘤的MRI表现[J]. 医学影像学杂志, 2010, 20(12): 1888-1891. |
| [12] | 方三高, 魏建国, 陈真伟. WHO (2020)软组织肿瘤分类[J]. 临床与实验病理学杂志, 2020, 36(9): 1132-1134. |
| [13] | Garcia-Ortega, D.Y., Martín-Tellez, K.S., Cuellar-Hubbe, M., Martínez-Said, H., Álvarez-Cano, A., Brener-Chaoul, M., et al. (2020) Desmoid-Type Fibromatosis. Cancers, 12, Article 1851. https://doi.org/10.3390/cancers12071851 |
| [14] | 李丽, 谭碧星. 右侧腹股沟区韧带样纤维瘤1例[J]. 医学影像学杂志, 2022, 32(1): 142+146. |
| [15] | Sargar, K.M., Sheybani, E.F., Shenoy, A., Aranake-Chrisinger, J. and Khanna, G. (2016) Pediatric Fibroblastic and Myofibroblastic Tumors: A Pictorial Review. Radio Graphics, 36, 1195-1214. https://doi.org/10.1148/rg.2016150191 |
