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复发性腹腔内硬纤维瘤病1例罕见病例

A Rare Case of Recurrent Intra-abdominal Desmoid-Type Fibromatosis.

作者信息

Musa Shuhaini, Kakarla Jyotsna, Narayanasamy Sangara, Mohamedahmed Ali Yasen, Vakis Stelios A

机构信息

General Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Foundation Trust, Burton-on-Trent, GBR.

General and Colorectal Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Foundation Trust, Burton-on-Trent, GBR.

出版信息

Cureus. 2024 Sep 10;16(9):e69049. doi: 10.7759/cureus.69049. eCollection 2024 Sep.

Abstract

Desmoid-type fibromatosis is an uncommon fibroblastic or myofibroblastic tumour arising in deep soft tissues with no metastatic potential. This case report presents a 78-year-old male patient with an incidental finding of desmoid-type fibromatosis of the abdomen with recurrence within two years and required surgical interventions. Primarily, a computed tomography (CT) of the abdomen and pelvis showed an incidental finding of a large soft tissue mass in the right iliac fossa mesentery measuring 11 by 8.5 cm. The patient underwent a successful elective exploratory laparotomy and resection of the mass along with a small bowel. A final pathology revealed the mass to be a primary desmoid of the small bowel. Despite clear resection margins, the patient developed recurrence after 17 months, which was treated with surgical resection. His post-operative course was uneventful. The patient's clinical presentation, management, and diagnosis are discussed in this case report.

摘要

韧带样型纤维瘤病是一种罕见的起源于深部软组织的成纤维细胞或肌成纤维细胞肿瘤,无转移潜能。本病例报告介绍了一名78岁男性患者,偶然发现腹部韧带样型纤维瘤病,两年内复发且需要手术干预。最初,腹部和骨盆的计算机断层扫描(CT)偶然发现右髂窝肠系膜有一个11×8.5厘米的大软组织肿块。患者成功接受了择期剖腹探查术,切除了肿块及一段小肠。最终病理显示肿块为小肠原发性韧带样瘤。尽管切缘清晰,但患者在17个月后复发,接受了手术切除治疗。他的术后过程顺利。本病例报告讨论了该患者的临床表现、治疗及诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/553a/11465187/7f7b7663d498/cureus-0016-00000069049-i01.jpg

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