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阑尾切除术后发生硬纤维瘤:一例报告。

Occurrence of a desmoid tumour in a status post appendicectomy: A case report.

作者信息

Shastri Kaushal, Varma Prashant

机构信息

Department of General Surgery, Kasturba Medical College, Mangalore 575001, India; Manipal Academy of Higher Education, Manipal, Karnataka, India.

Department of General Surgery, Kasturba Medical College, Mangalore 575001, India; Manipal Academy of Higher Education, Manipal, Karnataka, India.

出版信息

Int J Surg Case Rep. 2024 Dec;125:110652. doi: 10.1016/j.ijscr.2024.110652. Epub 2024 Nov 23.

Abstract

INTRODUCTION AND IMPORTANCE

Tumours arising from previous sites of appendicectomy are a rare phenomenon. There have been few documented cases in literature but for the most part, it is a rare occurrence that needs further investigation.

CASE PRESENTATION

A 20-year-old male presented to our outpatient with a large mass in his right upper abdomen for 2 months and a history of an appendicectomy done in an outside hospital 4 years prior.

CLINICAL DISCUSSION

After regular investigations, the tumour was resected with adequate margins. On immunohistochemistry, the specimen was said to be of a desmoid fibromatosis. The exact aetiology of the disease cannot be determined unless we get a thorough analysis of the appendix specimen.

CONCLUSION

This paves the way to the learning curve, which is that we must ensure proper patient follow-ups with relevant histopathological reports to ensure complete and comprehensive care to the patient.

摘要

引言与重要性

阑尾切除术后原手术部位出现肿瘤是一种罕见现象。文献中记载的病例很少,但总体而言,这是一种罕见情况,需要进一步研究。

病例介绍

一名20岁男性因右上腹有一巨大肿块2个月前来我院门诊就诊,4年前曾在外院行阑尾切除术。

临床讨论

经过常规检查后,肿瘤被完整切除。免疫组化检查显示,标本为硬纤维瘤病。除非对阑尾标本进行全面分析,否则无法确定该病的确切病因。

结论

这为我们的学习过程提供了经验,即我们必须通过相关组织病理学报告确保对患者进行适当的随访,以确保为患者提供全面、综合的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1980/11625375/e5e686aca863/gr1.jpg

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本文引用的文献

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Mesenteric desmoid tumor: De novo occurrence or recurrence following appendectomy?肠系膜硬纤维瘤:阑尾切除术后新发还是复发?
Radiol Case Rep. 2021 Nov 15;17(1):219-222. doi: 10.1016/j.radcr.2021.10.028. eCollection 2022 Jan.
7
Mesenteric tumors: diagnosis and treatment.肠系膜肿瘤:诊断与治疗。
J Visc Surg. 2012 Aug;149(4):e239-51. doi: 10.1016/j.jviscsurg.2012.05.005. Epub 2012 Jul 15.
9
10
Desmoid tumours.硬纤维瘤
Eur J Surg Oncol. 2001 Dec;27(8):701-6. doi: 10.1053/ejso.2001.1169.

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