Schwarzl F, Beham A, Schmid C, Hackl A
Institut für Pathologische Anatomie der Universität Graz.
Wien Klin Wochenschr. 1989 Feb 17;101(4):144-8.
We report on a 58 year-old male patient, in whom abdominal fibromatosis occurred 3 years after laparotomy and irradiation on account of rectal cancer. Abdominal fibromatosis are very rare tumour-like fibrous lesions of the anterior muscular abdominal wall, mainly affecting fertile females. Men, however, are only rarely affected and without age preponderance. A hereditary or mutant generalized defect of growth regulation of fibrous tissue is considered to be the cause of this disease; moreover, trauma, hormonal effects and pregnancies often play a role as cofactors. Interestingly, there is a high correlation between abdominal fibromatoses and osseous lesions of the femur, mandible and thoracic, as well as lumbar spine. In our case thoraco-lumbar Scheuermann's disease was detected.
我们报告了一名58岁男性患者,其因直肠癌接受剖腹手术和放疗3年后发生腹壁纤维瘤病。腹壁纤维瘤病是一种非常罕见的前腹壁肿瘤样纤维性病变,主要影响育龄女性。然而,男性很少受影响,且无年龄倾向。纤维组织生长调节的遗传性或突变性全身缺陷被认为是该病的病因;此外,创伤、激素作用和妊娠常作为辅助因素起作用。有趣的是,腹壁纤维瘤病与股骨、下颌骨以及胸椎和腰椎的骨病变之间存在高度相关性。在我们的病例中检测到了胸腰椎Scheuermann病。