Méndez-Fernández M A, Gard D A
Division of Plastic Surgery, Methodist Hospital, Houston, Texas.
Plast Reconstr Surg. 1991 May;87(5):956-60. doi: 10.1097/00006534-199105000-00025.
The desmoid tumor is a rare neoplasm which, because of its histopathologic appearance, has been traditionally considered to be benign. Despite its benign microscopic features, it has an aggressive local behavior and, if not excised adequately, has a tendency to recur locally and invade neighboring structures with significant potential for morbidity, deformity, or even death. Two cases of recurrent extraabdominal desmoid tumors are presented not only because they are highly representative of this disease, but also because they emphasize the need for aggressive surgical treatment. Also, they are unusual and challenging cases from a reconstructive standpoint. Based on this experience and on the most recent literature, we believe that this tumor, regardless of its microscopic features, should be addressed and treated as a malignancy.
硬纤维瘤是一种罕见的肿瘤，由于其组织病理学表现，传统上被认为是良性的。尽管其具有良性的微观特征，但它具有侵袭性的局部行为，如果切除不充分，有局部复发并侵犯邻近结构的倾向，具有导致严重并发症、畸形甚至死亡的重大风险。本文报告两例复发性腹外硬纤维瘤，不仅因为它们是这种疾病的高度典型病例，还因为它们强调了积极手术治疗的必要性。此外，从重建的角度来看，它们是不寻常且具有挑战性的病例。基于这一经验和最新文献，我们认为这种肿瘤，无论其微观特征如何，都应作为恶性肿瘤来处理和治疗。
