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[腹壁硬纤维瘤]

[Desmoid tumours in the abdominal wall].

作者信息

Eijsackers Maaike F, Tijsterman Jasper D, van de Linde Pieter, van Rooden Jan Kees, Merkus Jos W S

机构信息

Hagaziekenhuis, Den Haag, Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2011;155:A1487.

Abstract

Desmoid tumours are benign tumours originating from musculoaponeurotic structures and the fascia. They usually are slow-growing, without metastatic potential. However, their local behaviour can be infiltrative and aggressive, leading to damage of adjacent structures causing organ dysfunction. They carry a high risk of relapse. In this paper, three case studies of women aged 33, 35 and 42 years, respectively, illustrate the presentation, diagnostics and therapy of abdominal desmoid tumours. All three were surgically treated and recovered. Desmoid tumours occur most commonly in fertile women. Although the etiology is unknown, there is a correlation with scar tissue, pregnancy and radiotherapy. Abdominal desmoid tumours have the lowest relapse rate of all desmoid tumours. In toto resection is the treatment of choice. Radiotherapy in addition to surgery may be considered when risk of relapse is high.

摘要

硬纤维瘤是起源于肌筋膜结构和筋膜的良性肿瘤。它们通常生长缓慢,无转移潜能。然而,其局部行为具有浸润性和侵袭性,可导致相邻结构受损,引起器官功能障碍。它们具有较高的复发风险。本文通过分别对33岁、35岁和42岁女性的三个病例研究,阐述了腹部硬纤维瘤的临床表现、诊断和治疗。所有三例均接受了手术治疗并康复。硬纤维瘤最常见于育龄女性。虽然病因不明,但与瘢痕组织、妊娠和放疗有关。腹部硬纤维瘤在所有硬纤维瘤中复发率最低。整块切除是首选的治疗方法。当复发风险较高时,可考虑手术联合放疗。

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