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腹腔镜广泛手术切除治疗网膜纤维瘤病

Omental fibromatosis treated by laparoscopic wide surgical resection.

作者信息

Martin David, Muradbegovic Mirza, Andrejevic-Blant Snezana, Petermann David, Di Mare Luca

机构信息

Department of Visceral Surgery, University Hospital CHUV, Lausanne, Switzerland.

Department of General and Visceral Surgery, EHC Hospital, Morges, Switzerland.

出版信息

Intractable Rare Dis Res. 2018 Feb;7(1):51-53. doi: 10.5582/irdr.2018.01011.

Abstract

The current report presents a case of an omental fibromatosis discovered incidentally in a 46-year-old woman with no particular medical history and few symptoms. A surgical biopsy was performed initially, and microscopic examination revealed myofibroblastic proliferation. After additional immunohistochemical and molecular analyses, omental fibromatosis was diagnosed. Omental fibromatosis, also called intra-abdominal desmoid, is a rare and benign tumour but can be locally aggressive. Majority of cases are asymptomatic, and difficult to diagnose based on clinical presentation and radiological investigation. Final diagnosis is usually made on histopathology and immunohistochemistry studies. Surgical wide excision is currently the treatment of choice.

摘要

本报告介绍了一例偶然发现的网膜纤维瘤病病例,患者为一名46岁女性,无特殊病史,症状轻微。最初进行了手术活检,显微镜检查显示肌成纤维细胞增生。经过进一步的免疫组织化学和分子分析,确诊为网膜纤维瘤病。网膜纤维瘤病,也称为腹腔内硬纤维瘤,是一种罕见的良性肿瘤,但具有局部侵袭性。大多数病例无症状,根据临床表现和影像学检查难以诊断。最终诊断通常基于组织病理学和免疫组织化学研究。目前,手术广泛切除是首选治疗方法。

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