Krentel H, Tchartchian G, De Wilde R L
Department of Obstetrics and Gynecology, Hospital Eisenhüttenstadt, Friedrich-Engels-Str. 39, 15890 Eisenhüttenstadt, Germany.
Case Rep Med. 2012;2012:725498. doi: 10.1155/2012/725498. Epub 2012 Jun 12.
In female patients presenting a tumor of the lower abdominal wall especially after cesarian section, an endometriotic tumor as well as an aggressive desmoid tumor should be considered. Symptoms in correlation with the monthly period can facilitate the presurgical differentiation between endometriosis and fibromatosis. Ultrasound reveals the typical location of both tumors and its remarkable sonographic appearance. In the clinical practice, the desmoid fibromatosis of the lower abdominal wall is a very rare disease. We present a case of a 25-year-old pregnant and discuss diagnostic and therapeutic options by a PubMed literature review. With the knowledge of the prognosis of the desmoid fibromatosis and the respective treatment options including wait and see, complete surgical resection with macroscopically free margins and adjuvant approaches is essential to avoid further interventions and progression of the locally destructive tumor.
对于出现下腹部壁肿瘤的女性患者，尤其是剖宫产术后的患者，应考虑子宫内膜异位瘤以及侵袭性硬纤维瘤。与月经周期相关的症状有助于术前鉴别子宫内膜异位症和纤维瘤病。超声可显示这两种肿瘤的典型位置及其显著的超声表现。在临床实践中，下腹部壁硬纤维瘤病是一种非常罕见的疾病。我们报告一例25岁孕妇的病例，并通过PubMed文献综述讨论诊断和治疗方案。了解硬纤维瘤病的预后以及包括观察等待、进行切缘肉眼无肿瘤残留的完整手术切除和辅助治疗等相应治疗方案，对于避免进一步干预和局部侵袭性肿瘤的进展至关重要。
