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肋骨促结缔组织增生性纤维母细胞瘤：电视辅助切除术

Rib desmoplastic fibroblastoma: Video-assisted resection.

作者信息

Buero Agustín, Nardi Walter Sebastian, Lyons Gustavo Alejandro, Dezanzo Pablo

机构信息

Department of Thoracic Surgery, British Hospital of Buenos Aires, Buenos Aires, Argentina.

Department of General Surgery, British Hospital of Buenos Aires, Buenos Aires, Argentina.

出版信息

J Minim Access Surg. 2018 Jul-Sep;14(3):250-252. doi: 10.4103/jmas.JMAS_210_17.

DOI:10.4103/jmas.JMAS_210_17
PMID:29319020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6001302/
Abstract

A 46-year-old man was referred to our department due to chronic chest pain. A computed tomography showed an exophytic image arising from 5th rib that was projected on the middle lobule. The patient underwent an exploratory videothoracoscopic because we couldn't discard lung compromise. A corneal-like lesion emerging from the inner side of the 5th rib was revealed. Complete video-assited resection was done. Histopathology examination revealed a desmoplastic fibroblastoma. To our knowledge this is the first case of desmoplastic fibroblastoma arising from a rib and the second case published in all literature of chest wall involvement.

摘要

一名46岁男性因慢性胸痛转诊至我科。计算机断层扫描显示一个外生性影像，起源于第5肋骨并投影于中叶。由于我们不能排除肺部受累，该患者接受了电视胸腔镜探查。结果发现第5肋骨内侧出现一个类似角膜的病变。进行了完整的电视辅助切除术。组织病理学检查显示为促结缔组织增生性纤维母细胞瘤。据我们所知，这是首例起源于肋骨的促结缔组织增生性纤维母细胞瘤，也是所有关于胸壁受累文献中报道的第二例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6001302/d4642545c95a/JMAS-14-250-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6001302/cfdbf7040e51/JMAS-14-250-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6001302/f03aaa0f323f/JMAS-14-250-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6001302/d4642545c95a/JMAS-14-250-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6001302/cfdbf7040e51/JMAS-14-250-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6001302/f03aaa0f323f/JMAS-14-250-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6001302/d4642545c95a/JMAS-14-250-g003.jpg

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本文引用的文献

1
Invasive desmoplastic fibroblastoma in the chest wall.胸壁侵袭性促结缔组织增生性纤维瘤
Ann Thorac Surg. 2015 Apr;99(4):e85-6. doi: 10.1016/j.athoracsur.2015.01.055.
2
Massive desmoplastic fibroblastoma with scapular invasion.伴有肩胛骨侵犯的巨大促结缔组织增生性纤维瘤。
Orthopedics. 2010 Aug 11;33(8). doi: 10.3928/01477447-20100625-23.
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Collagenous fibroma (desmoplastic fibroblastoma) with vertebral body erosion.伴有椎体侵蚀的胶原性纤维瘤（促结缔组织增生性成纤维细胞瘤）
Sarcoma. 2009;2009:682687. doi: 10.1155/2009/682687. Epub 2009 May 27.
4
CT and MR imaging of desmoplastic fibroblastoma.促纤维组织增生性纤维瘤的CT和MR成像
Eur Radiol. 2002 Oct;12(10):2474-6. doi: 10.1007/s00330-001-1217-x. Epub 2001 Dec 1.
5
Collagenous fibroma (desmoplastic fibroblastoma): a clinicopathologic analysis of 63 cases of a distinctive soft tissue lesion with stellate-shaped fibroblasts.胶原性纤维瘤（促纤维增生性纤维母细胞瘤）：63例具有星状纤维母细胞的独特软组织病变的临床病理分析
Hum Pathol. 1998 Jul;29(7):676-82. doi: 10.1016/s0046-8177(98)90275-1.