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一例罕见的源于腘窝的腹外硬纤维瘤病

A Rare Case of Extra-abdominal Desmoid-type Fibromatosis Arising from the Popliteal Fossa.

作者信息

Jain Mantu, Das Sudhanshu S, Gantaguru Amrit, Panda Ritesh, Behera Sudarsan

机构信息

Orthopedics, All India Institute of Medical Sciences, Bhubaneswar, IND.

Orthopedics, All India Institute of Medical Sciences, Bhubaneswar , IND.

出版信息

Cureus. 2018 Nov 28;10(11):e3651. doi: 10.7759/cureus.3651.

Abstract

Desmoids are rare soft-tissue tumors of the abdominal wall that may sporadically occur extra-abdominally. It manifests as clonal fibroblastic proliferation with an infiltrative tendency and capacity to recur without metastasizing. An adolescent male presented with a gradually increasing globular, non-tender, firm, non-pulsatile swelling (8 × 5 × 3 cm) in the left popliteal fossa that had been present for five months. Following thorough investigation with imaging and Tru-cut biopsy, finally, an excisional biopsy was done. Histopathological examination confirmed a desmoid tumor, and the patient received adjuvant radiotherapy. At the one-year postoperative follow-up, there was no recurrence; the patient had been explained the prognosis. This case highlights a rare site of an extra-abdominal desmoid but with classical clinical presentation, imaging, intraoperative, and histopathological findings. Awareness and knowledge of this entity are of paramount importance for clinical practitioners.

摘要

硬纤维瘤是一种罕见的腹壁软组织肿瘤,也可能偶尔发生于腹部外。它表现为克隆性成纤维细胞增殖,具有浸润性倾向且有复发能力但不发生转移。一名青少年男性患者,左腘窝处出现一个逐渐增大的球形、无压痛、质硬、无搏动性肿物(8×5×3厘米),已存在5个月。经过影像学和粗针穿刺活检的全面检查后,最终进行了切除活检。组织病理学检查确诊为硬纤维瘤,患者接受了辅助放疗。术后一年随访时未发现复发;已向患者解释了预后情况。该病例突出了腹部外硬纤维瘤的罕见部位,但具有典型的临床表现、影像学表现、术中表现及组织病理学表现。临床医生对该疾病的认识和了解至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/771e/6351114/396765b622ca/cureus-0010-00000003651-i01.jpg

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