Barbin J Y, Duveau D, Aillet G, Dabouis G, Lacroix H, Remadi J P, Michaud J L
Service de Chirurgie Générale II, Hôpital G. et R. Laennec, Nantes.
Chirurgie. 1992;118(9):511-5.
This observation has been previously reported as a multifocal and recidivant desmoid tumor. The first time, the patient was operated on for a desmoid tumor situated on his left thigh. He was reoperated on fourteen years later for a recurrent tumor implanted on the same place and a new one on the right arm. Recently bilateral pulmonary tumors were discovered. As far as this evolution was concerned, its exceptional pattern induced a new analysis of the microscopic data and the diagnosis of fibrohistiocytic sarcoma was established. This observation suggest to the authors some comments about the difficulty of diagnosis and therapy of such soft tissue tumors.
这一病例先前曾被报道为多灶性复发性硬纤维瘤。首次发病时,患者因左大腿的硬纤维瘤接受手术。十四年后,他因同一部位复发的肿瘤以及右臂出现的新肿瘤再次接受手术。最近又发现了双侧肺部肿瘤。就这一病情发展而言,其特殊模式促使对微观数据进行重新分析,并确诊为纤维组织细胞肉瘤。该病例让作者对这类软组织肿瘤的诊断和治疗难度有了一些思考。