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产后女性腹壁巨大硬纤维瘤酷似腹内肿物:1例报告

Huge desmoid tumor of the anterior abdominal wall mimicking an intraabdominal mass in a postpartum woman: a case report.

作者信息

Trigui Khaled, Bouassida Mahdi, Kilani Houda, Mighri Mohamed Mongi, Sassi Selim, Chebbi Fathi, Touinsi Hassen, Sassi Sadok

机构信息

Department of surgery, MTM Hospital, Nabeul, Tunisia.

出版信息

Pan Afr Med J. 2013 Feb 7;14:52. doi: 10.11604/pamj.2013.14.52.2414. Print 2013.

Abstract

Desmoid tumors are benign neoplasms that most often arise from muscle aponeurosis and have been associated with both trauma and pregnancy. The etiology of desmoids has not been determined. We report the case of anterior abdominal wall desmoid tumor in a female patient with previous history of cesarean section. Preoperative ultrasound and computed tomography demonstrated a large mass mimicking a large hematoma or an intraabdominal mass. The tumor was removed by wide excision with safe margins. The abdominal wall defect was reconstructed with polypropylene mesh. Subsequent histology revealed a desmoid tumor. Desmoid tumors in females are often associated with pregnancy or occur post-partum. The reasons behind this association are unclear. The most common sites are in the abdominal muscles.

摘要

硬纤维瘤是一种良性肿瘤,最常起源于肌肉腱膜,与创伤和妊娠均有关联。硬纤维瘤的病因尚未明确。我们报告一例有剖宫产史的女性患者发生前腹壁硬纤维瘤的病例。术前超声和计算机断层扫描显示一个巨大肿块,类似巨大血肿或腹腔内肿块。通过广泛切除并确保切缘安全将肿瘤切除。用聚丙烯网片修复腹壁缺损。随后的组织学检查显示为硬纤维瘤。女性硬纤维瘤常与妊娠相关或在产后发生。这种关联背后的原因尚不清楚。最常见的部位是腹部肌肉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd78/3626436/853331a24758/PAMJ-14-52-g001.jpg

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