一名乳腺纤维瘤病（硬纤维瘤）多次复发且累及胸壁肌肉组织的患者的管理。
Management of a patient with multiple recurrences of fibromatosis (desmoid tumor) of the breast involving the chest wall musculature.
作者信息
Povoski Stephen P, Marsh William L, Spigos Dimitrios G, Abbas Abbas E, Buchele Brentley A
机构信息
Division of Surgical Oncology, Department of Surgery, The Arthur G, James Cancer Hospital and Richard J Solove Research Institute of The Ohio State University, Columbus, Ohio 43210, USA.
出版信息
World J Surg Oncol. 2006 Jun 12;4:32. doi: 10.1186/1477-7819-4-32.
BACKGROUND
Fibromatosis or desmoid tumor is a rare soft tissue tumor that lacks a metastatic potential, but is characterized by a locally aggressive and infiltrating growth pattern and a high propensity toward local recurrence if incompletely excised.
CASE PRESENTATION
We report a patient with three post-surgical recurrences of fibromatosis of the breast over a seven year period. The fibromatosis was found to be involving the chest wall musculature and causing persistent and worsening pain. An aggressive operative strategy was undertaken, consisting of mastectomy with en bloc resection of the underlying chest wall musculature, ribs, and parietal pleura.
CONCLUSION
Aggressive surgical management of fibromatosis of the breast with suspected chest wall involvement is appropriate to attempt to obtain a long-term durable cure.
背景
纤维瘤病或韧带样瘤是一种罕见的软组织肿瘤，无转移潜能，但具有局部侵袭性和浸润性生长模式，若切除不完全则局部复发倾向高。
病例报告
我们报告一名患者，在七年时间里乳腺纤维瘤病术后复发三次。发现纤维瘤病累及胸壁肌肉组织并导致持续且加重的疼痛。采取了积极的手术策略，包括乳房切除术并整块切除下方的胸壁肌肉组织、肋骨和壁层胸膜。
结论
对于怀疑累及胸壁的乳腺纤维瘤病，积极的手术治疗有助于尝试实现长期持久治愈。
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