全胃切除术后置入空肠袋的肠系膜硬纤维瘤
Mesenteric desmoid tumor of the interposed jejunal pouch after total gastrectomy.
作者信息
Tamura Koichi, Tani Masaji, Kinoshita Hiroyuki, Yamaue Hiroki
机构信息
Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan.
出版信息
World J Surg Oncol. 2006 Jun 1;4:27. doi: 10.1186/1477-7819-4-27.
BACKGROUND
Desmoid tumor is a rare entity, and most desmoid tumors are located in abdominal wall or extra-abdominal tissues. Occurrence of desmoid tumor in mesentry is extremely rare.
CASE PRESENTATION
we report a mesenteric desmoid tumor in a 73-years-old woman who had undergone total gastrectomy reconstructed with jejunal pouch interposition for gastric carcinoma. After 1 year, a tumor was originating from mesentery of the interposed jejunal pouch was identified, and the patient underwent resection of the large mass which was found to invade pancreas. Histological examination revealed desmoid tumor.
CONCLUSION
Desmoid tumor is rare, and it was difficult for the differential diagnosis of desmoid tumor or recurrent tumor.
背景
韧带样瘤是一种罕见的疾病，大多数韧带样瘤位于腹壁或腹外组织。肠系膜韧带样瘤的发生极为罕见。
病例报告
我们报告了一名73岁女性的肠系膜韧带样瘤，该患者因胃癌接受了空肠间置代胃全胃切除术。1年后，发现起源于间置空肠襻系膜的肿瘤，患者接受了大块肿物切除，发现该肿物侵犯了胰腺。组织学检查显示为韧带样瘤。
结论
韧带样瘤罕见，韧带样瘤与复发性肿瘤的鉴别诊断困难。
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