AlNuaimi Dana, Abdulghaffar Shareefa, AlKetbi Reem, Khadim Badreya, Ibrahim Khalid
Department of Health, Abu Dhabi 20224, United Arab Emirates.
Dubai Health, Dubai 1853, United Arab Emirates.
BJR Case Rep. 2024 Dec 17;11(1):uaae050. doi: 10.1093/bjrcr/uaae050. eCollection 2025 Jan.
Desmoid tumours are rare benign tumours that show locally aggressive and invasive features leading to potential complications. They can be quite challenging for the treating surgeon if they occur adjacent to neurovascular structures. The aetiology of these tumours is still unclear, but the incidence is higher in females and in patients with a history of trauma or surgical procedures, raising the possibility of genetic and hormonal factors as well as post-traumatic or post-operative inflammatory changes promoting the formation of desmoid fibromatosis. We report a case of a 34-year-old Asian female who presented to our hospital with a history of difficulty in swallowing due to an enlarging lump on the left side of her neck. Patient had a past medical history of previous cervical spinal disc surgery due to a herniated disc. Diagnostic imaging showed a large soft tissue mass centred between the left common carotid artery and the cervical vertebrae displacing the trachea and oesophagus to the right side. A biopsy was obtained, and histopathological examination was suggestive of a desmoid tumour. The patient underwent surgical resection of the tumour but returned later with recurrence and had to undergo the surgery again to achieve full cure.
韧带样瘤是罕见的良性肿瘤，具有局部侵袭性和浸润性特征，可导致潜在并发症。如果它们发生在神经血管结构附近，对于治疗外科医生来说可能极具挑战性。这些肿瘤的病因仍不清楚，但在女性以及有创伤或手术史的患者中发病率较高，这增加了遗传和激素因素以及创伤后或术后炎症变化促进韧带样纤维瘤病形成的可能性。我们报告一例34岁的亚洲女性病例，该患者因左侧颈部肿块增大导致吞咽困难前来我院就诊。患者既往有因椎间盘突出行颈椎间盘手术史。诊断性影像学检查显示一个大的软组织肿块，位于左颈总动脉和颈椎之间，将气管和食管推向右侧。进行了活检，组织病理学检查提示为韧带样瘤。患者接受了肿瘤手术切除，但后来复发，不得不再次手术以实现完全治愈。
