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一名儿童鼻腔内迅速生长的肿物:结节性筋膜炎。

A rapidly progressing mass of nasal cavity in a child: Nodular fasciitis.

作者信息

Chen Yujie, Lv Wei, Zhu Zhenzhen

机构信息

Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.

出版信息

Ear Nose Throat J. 2021 Dec;100(10_suppl):1050S-1053S. doi: 10.1177/0145561320932332. Epub 2020 Jun 24.

Abstract

Nodular fasciitis (NF) is a benign, self-limiting, reactive soft tissue tumor that is composed of fibroblasts and myofibroblasts and is often misdiagnosed as a malignant lesion. Nodular fasciitis is often reported in adults but rarely seen in children. We report the case of a 3-year-old girl with a rapidly growing NF in the left nasal cavity. The initial biopsy suggested the possibility of a spindle cell tumor or low-grade malignant tumor, respectively. The child underwent complete excision of the tumor. With the help of immunohistochemistry and pathological consultation, the final diagnosis was confirmed as NF. There was no recurrence during an 18-month follow-up period.

摘要

结节性筋膜炎(NF)是一种良性、自限性、反应性软组织肿瘤,由成纤维细胞和肌成纤维细胞组成,常被误诊为恶性病变。结节性筋膜炎多见于成人,儿童罕见。我们报告一例3岁女童,左鼻腔内有一生长迅速的结节性筋膜炎。最初的活检分别提示为梭形细胞瘤或低度恶性肿瘤。该患儿接受了肿瘤全切术。在免疫组化和病理会诊的帮助下,最终确诊为结节性筋膜炎。在18个月的随访期内无复发。

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