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十二指肠来源的纤维瘤病侵犯肠壁肌层:一例罕见病例报告。

Duodenum-derived fibromatosis that invaded the muscular layer of intestinal wall: A rare case report.

作者信息

Li Jiannan, Le Hanxiang, Chai Wei, Zhou Yan, Jin Lifang, Liu Tongjun, Zhang Kai

机构信息

Department of General Surgery, The Second Hospital of Jilin University Department of Gynecology and Obstetrics, The First Hospital of Jilin University Department of Hematology and Oncology, The Second Hospital of Jilin University, Changchun, Jilin, China.

出版信息

Medicine (Baltimore). 2017 Aug;96(31):e7684. doi: 10.1097/MD.0000000000007684.

DOI:10.1097/MD.0000000000007684
PMID:28767596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5626150/
Abstract

RATIONALE

Intraabdominal fibromatosis is a rare benign tumor that often affects the mesentery or retroperitoneum, and can infiltrate adjacent organs. However, it is rare for fibromatosis to arise from the small intestinal wall.

PATIENT CONCERNS

A 27-year-old female with a tangible abdominal tumor is described.

DIAGNOSES

The computed tomography (CT) scan revealed a 7.5 cm, small intestine-associated tumor in the right abdomen.

INTERVENTIONS

The patient received tumor resection and intestinal anastomosis.

OUTCOMES

Further pathological examination confirmed the tumor as a duodenal fibromatosis that infiltrated the intestinal wall. To the best of our knowledge, this is the first report of a duodenum-derived fibromatosis that invaded the muscular layer of the intestine.

LESSONS

Our study demonstrated that an unexplained abdominal mass should be noteworthy and properly treated.

摘要

理论依据

腹腔纤维瘤病是一种罕见的良性肿瘤,常累及肠系膜或腹膜后,可浸润相邻器官。然而,纤维瘤病起源于小肠壁的情况较为罕见。

患者情况

描述了一名27岁有腹部可触及肿物的女性。

诊断

计算机断层扫描(CT)显示右腹部有一个7.5厘米与小肠相关的肿瘤。

干预措施

患者接受了肿瘤切除及肠吻合术。

结果

进一步病理检查证实肿瘤为浸润肠壁的十二指肠纤维瘤病。据我们所知,这是首例起源于十二指肠并侵犯肠肌层的纤维瘤病报告。

经验教训

我们的研究表明,不明原因的腹部肿块应引起重视并得到妥善治疗。

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本文引用的文献

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Desmoid fibromatosis: MRI features of response to systemic therapy.硬纤维瘤病:全身治疗反应的MRI特征
Skeletal Radiol. 2016 Oct;45(10):1365-73. doi: 10.1007/s00256-016-2439-y. Epub 2016 Aug 9.
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Giant mesentery fibromatosis presenting as acute abdomen - case report.以急腹症为表现的巨大肠系膜纤维瘤病——病例报告
Contemp Oncol (Pozn). 2013;17(5):468-9. doi: 10.5114/wo.2013.37224. Epub 2013 Oct 11.
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Giant mesenteric fibromatosis: Report of a case and review of the literature.巨大肠系膜纤维瘤病:病例报告及文献复习。
World J Gastrointest Surg. 2012 Mar 27;4(3):79-82. doi: 10.4240/wjgs.v4.i3.79.
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Fibromatosis of the cecum presenting with acute appendicitis: a case report.回盲部纤维瘤病表现为急性阑尾炎:病例报告。
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Surgery versus radiation therapy for patients with aggressive fibromatosis or desmoid tumors: A comparative review of 22 articles.侵袭性纤维瘤病或韧带样瘤患者的手术与放射治疗:22篇文章的比较综述
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CT appearances of desmoid tumours in familial adenomatous polyposis: further observations.家族性腺瘤性息肉病中硬纤维瘤的CT表现:进一步观察
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