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腹壁硬纤维瘤:一例报告

Desmoid tumor of the abdominal wall: a case report.

作者信息

Economou Athanasios, Pitta Xanthi, Andreadis Efstathios, Papapavlou Leonidas, Chrissidis Thomas

机构信息

Department of Radiology, General Hospital "Agios Pavlos," Ethn, Antistaseos 161, 55134 Thessaloniki, Greece.

出版信息

J Med Case Rep. 2011 Jul 25;5:326. doi: 10.1186/1752-1947-5-326.

Abstract

INTRODUCTION

Desmoid tumors are rare lesions without any metastatic potential but a strong tendency to invade locally and to recur. These tumors are associated with women of fertile age, especially during and after pregnancy.

CASE PRESENTATION

The case of a desmoid tumor of the anterior abdominal wall in a 40-year-old Caucasian man with no relevant family history is presented, describing its appearance on computed tomography and ultrasonography. The patient, who presented with a painless mass in the left anterolateral abdomen, had a history of previous urgent abdominal surgery after a shotgun injury two years earlier. Radical resection of the affected abdominal wall musculature was performed, and the defect was reconstructed with polypropylene mesh.

CONCLUSION

The diagnosis of desmoid tumor should be strongly considered even in male patients with an abdominal mass and a history of previous abdominal surgery. The goal of its treatment is complete tumor excision and avoidance of the development of complications such as hernia.

摘要

引言

硬纤维瘤是一种罕见的病变,无任何转移潜能,但有强烈的局部侵袭和复发倾向。这些肿瘤与育龄期女性有关,尤其是在孕期和产后。

病例报告

本文介绍了一名40岁无相关家族史的白种男性前腹壁硬纤维瘤病例,描述了其在计算机断层扫描和超声检查中的表现。该患者左前外侧腹部出现无痛性肿块,两年前曾因猎枪伤接受紧急腹部手术。对受影响的腹壁肌肉组织进行了根治性切除,并用聚丙烯网片修复了缺损。

结论

即使是有腹部肿块且有腹部手术史的男性患者,也应高度考虑硬纤维瘤的诊断。其治疗目标是完整切除肿瘤并避免出现诸如疝气等并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0270/3162920/58abf6e5859f/1752-1947-5-326-1.jpg

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