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[颈内静脉置管后发生的硬纤维瘤样颈部肿瘤]

[Desmoid cervical tumour following the placing of an internal jugular catheter].

作者信息

Skhiri H, Zellama D, Ameur Frih M, Moussa A, Gmar Bouraoui S, Achour A, Ben Dhia N, Zakhama A, Elmay M

机构信息

Service de néphrologie, EPS Fattouma Bourguiba, Monastir, Tunisia.

出版信息

Presse Med. 2004 Jan 31;33(2):95-7. doi: 10.1016/s0755-4982(04)98492-8.

Abstract

INTRODUCTION

A desmoid tumour is a rare fibroblastic tumour and generally located in the abdomen. However, it can also develop on surgical scars.

OBSERVATION

A 36 year-old woman on chronic dialysis consulted for a cervical mass on the left side that was progressively increasing in volume, on the site of a scar of an internal jugular catheter placed 7 months earlier. Histological analysis of a sample of this mass concluded in a benign fibroblastic proliferation and led to the diagnosis of a desmoid tumour. Study of the patient's history revealed that a left jugular catheter had been placed on two occasions to be used for the hemodialysis approach, the lesion provoked by the latter would explain the development of the desmoid tumour.

COMMENTS

The potential severity of this tumour is related to its proximity with the carotid, trachea and base of the skull. In general, desmoid tumours, rare benign tumours of the connective tissue, exhibit a complex multifactor etiopathogenesis. A surgical trauma can often trigger-off such tumours.

摘要

引言

硬纤维瘤是一种罕见的纤维瘤,通常位于腹部。然而,它也可在手术疤痕处发生。

观察

一名36岁的慢性透析女性因左侧颈部肿块前来咨询,该肿块体积逐渐增大,位于7个月前放置颈内静脉导管的疤痕处。对该肿块样本的组织学分析显示为良性纤维增生,诊断为硬纤维瘤。对患者病史的研究发现,曾两次放置左颈静脉导管用于血液透析,后者引发的病变可解释硬纤维瘤的发生。

评论

该肿瘤的潜在严重性与其靠近颈动脉、气管和颅底有关。一般来说,硬纤维瘤是罕见的结缔组织良性肿瘤,其发病机制复杂且涉及多因素。手术创伤常可引发此类肿瘤。

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