Funamizu Naotake, Ohata Satomi, Kurihara Kazunao, Nakabayashi Yukio
Dept. of Digestive Surgery, Kawaguchi Municipal Medical Center.
Gan To Kagaku Ryoho. 2019 Sep;46(9):1441-1443.
During a follow-upstudy after the treatment of T cell lymphoma, a 21-year-old man reported an intra-abdominal mass in his right lower abdomen, which was then confirmed using abdominal CT. Therefore, recurrence was suspected due to his medical history. To perform a biopsy, laparoscopic surgery was scheduled, which located the tumor in the mesentery of the terminal ileum, involving the cecum. For this, laparoscopic ileocecal resection was performed. After 7 days, the patient was discharged without complications. Histopathologically, the mass was diagnosed as a desmoid tumor via immunostaining. It is relatively rare that an intra-abdominal desmoid tumor occurs without risk factors in a young man. We herein report a case of an intra-abdominal desmoid tumor, which was successfully treated using laparoscopic surgery.
在对一名T细胞淋巴瘤患者进行治疗后的随访研究中,一名21岁男性报告其右下腹有一腹腔内肿块,随后通过腹部CT得以确诊。鉴于其病史,怀疑为复发。为进行活检,安排了腹腔镜手术,术中发现肿瘤位于回肠末端系膜,累及盲肠。为此,实施了腹腔镜下回盲部切除术。7天后,患者无并发症出院。组织病理学检查通过免疫染色将肿块诊断为硬纤维瘤。年轻男性无危险因素而发生腹腔内硬纤维瘤相对少见。我们在此报告一例腹腔内硬纤维瘤病例,该病例通过腹腔镜手术成功治愈。