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[7例小儿纤维瘤病的临床特点、分类及预后]

[Clinical aspects, classification and prognosis of 7 cases of pediatric fibromatosis].

作者信息

Ure B M, Holschneider A M, Gharib M, Halsband H, Hinselmann D

机构信息

Kinderchirurgische Klinik des Kinderkrankenhauses der Stadt Köln.

出版信息

Z Kinderchir. 1988 Feb;43(1):27-30. doi: 10.1055/s-2008-1043407.

Abstract

Seven cases of fibromatoses in infancy and childhood serve as examples to demonstrate this group of rare tumours, taking especially the aggressive forms of juvenile fibromatoses into account. There is a tendency to locally invasive destructive growth without metastasising at any time and a markedly high relapse rate after surgery--a tendency that showed up clearly in our patients, too. Only one child out of four having infantile (desmoid-type) fibromatosis of different localisation did not show any recurrence. The article reports, among other cases, on a desmoid of the stomach and oesophagus in a 15-year-old girl, not described in the literature so far, and on a congenital fibromatosis of the pancreas. Several classifications had to be performed to properly grade the individual cases (1, 6), since no generally valid systematic description of these tumours exists.

摘要

7例婴幼儿及儿童期纤维瘤病病例可作为实例,用以展示这组罕见肿瘤,尤其考虑到青少年纤维瘤病的侵袭性形式。其具有局部侵袭性破坏性生长的倾向,且任何时候都不会发生转移,术后复发率显著较高——这种倾向在我们的患者中也明显表现出来。4例患有不同部位婴儿型(硬纤维瘤型)纤维瘤病的儿童中,只有1例未出现任何复发情况。除其他病例外,本文还报道了1例15岁女孩的胃及食管硬纤维瘤,这是迄今文献中未描述过的,以及1例胰腺先天性纤维瘤病。由于目前尚无对这些肿瘤普遍有效的系统描述,因此必须进行几种分类才能对各个病例进行恰当分级(1, 6)。

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