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[结节性筋膜炎:病例报告及文献复习]

[Nodular fasciitis: case report and review of the literature].

作者信息

Dijoux P, Mesturoux L, Charissoux A, Pommepuy I, Layre B, Marcheix P-S

机构信息

Service d'orthopédie-traumatologie, hôpital universitaire de Limoges, 2, avenue Matin-Luther-King, 87000 Limoges, France.

出版信息

Chir Main. 2013 Oct;32(5):341-4. doi: 10.1016/j.main.2013.07.009. Epub 2013 Aug 19.

Abstract

Among soft tissue tumors, nodular fasciitis is a relatively common tumor process, which occurs in the 30 first years of life. Nodular fasciitis is a benign tumor with a rapid proliferation of myofibroblastic cells, which develops at the expense of a muscular fascia in the subcutaneous tissue. Usual localizations are the trunk and upper limbs. Difficulty of diagnosis consists in the need to eliminate many differential diagnoses especially malignant tumor processes. From a clinical point of view, the rapid development of nodular fasciitis (from some days to some weeks) must fear a malignant process. This benign lesion, which does not recur (even if incomplete resection), may regress spontaneously. We report such a tumor located at the cubital fossa confirmed by a pathological examination.

摘要

在软组织肿瘤中,结节性筋膜炎是一种相对常见的肿瘤性病变,多见于生命的头30年。结节性筋膜炎是一种良性肿瘤,由肌成纤维细胞快速增殖形成,病变累及皮下组织的肌筋膜。常见发病部位为躯干和上肢。诊断困难在于需要排除许多鉴别诊断,尤其是恶性肿瘤性病变。从临床角度看,结节性筋膜炎的快速发展(从数天到数周)可能提示恶性病变。这种良性病变即使不完全切除也不会复发,且可能自行消退。我们报告一例经病理检查确诊位于肘窝的此类肿瘤。

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