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肺癌肺叶切除术后支气管残端疑似局部复发后的瘢痕性纤维瘤病诊断

Cicatricial Fibromatosis Diagnosis after Suspected Local Recurrence at the Bronchial Stump Following Lobectomy for Lung Cancer.

作者信息

Hwang Wan Jin, Lee Yeiwon, Jung Soo Young, Yeh Daewook, Park Soon Hyo, Yoon Yoo Sang

机构信息

Department of Thoracic and Cardiovascular Surgery, Konyang University College of Medicine.

Department of Pathology, DIRAMS.

出版信息

Korean J Thorac Cardiovasc Surg. 2016 Apr;49(2):134-7. doi: 10.5090/kjtcs.2016.49.2.134. Epub 2016 Apr 5.

DOI:10.5090/kjtcs.2016.49.2.134
PMID:27064987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4825918/
Abstract

A mass excision surrounding the bronchial stump was performed to exclude malignancy in a 42-year-old man who had undergone a right lower lobectomy for lung cancer. The mass was identified as a cicatricial fibroma. Cicatricial fibromatosis, which is desmoid fibromatosis that arises in a surgical scar, is a well-known clinical condition. It consists of histologically benign neoplasms. Their occurrence after thoracic surgery is extremely rare. Biopsy or excision of suspicious lesions is very important for diagnosis. R0 resection remains the principal outcome for intra-thoracic desmoid fibromatosis. We report that a cicatricial fibromatosis in the subcarinal space was removed after suspicion of local recurrence at the bronchial stump follwing lobectomy for lung cancer.

摘要

对一名因肺癌接受右下叶切除术的42岁男性患者进行了围绕支气管残端的肿块切除术，以排除恶性肿瘤。该肿块被确定为瘢痕性纤维瘤。瘢痕性纤维瘤病是发生于手术瘢痕的韧带样纤维瘤病，是一种众所周知的临床病症。它由组织学上良性的肿瘤组成。其在胸外科手术后的发生极为罕见。对可疑病变进行活检或切除对诊断非常重要。R0切除仍然是胸内韧带样纤维瘤病的主要治疗结果。我们报告了一例在肺癌肺叶切除术后怀疑支气管残端局部复发，随后切除了隆突下间隙的瘢痕性纤维瘤病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ff/4825918/c0e5b67b63b9/kjtcv-49-134f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ff/4825918/f00d2f03b500/kjtcv-49-134f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ff/4825918/04f9f86f8ec0/kjtcv-49-134f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ff/4825918/c0e5b67b63b9/kjtcv-49-134f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ff/4825918/f00d2f03b500/kjtcv-49-134f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ff/4825918/04f9f86f8ec0/kjtcv-49-134f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ff/4825918/c0e5b67b63b9/kjtcv-49-134f3.jpg

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本文引用的文献

1
A case of desmoid-type fibromatosis arising after thoracotomy for lung cancer with a review of the english and Japanese literature.1例肺癌开胸术后发生的韧带样型纤维瘤病并英文和日文文献复习
Ann Thorac Cardiovasc Surg. 2014;20 Suppl:465-9. doi: 10.5761/atcs.cr.12.02149. Epub 2013 Apr 5.
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Multidisciplinary treatment of intra-thoracic desmoid tumors: case series and narrative review.胸内硬纤维瘤的多学科治疗：病例系列和叙述性综述。
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胸壁及胸腔内硬纤维瘤：手术经验及文献综述
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