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一例罕见的双侧背部弹力纤维瘤伴术后胸下血清肿:病例报告

A rare case of bilateral elastofibroma dorsi of the back with postoperative subthoracic seroma: Case report.

作者信息

Xie Lin-Cen, Shi Shun-Bin, Wang Hai-Long, You Xiang

机构信息

Department of Thoracic Surgery, Suzhou Ninth People's Hospital, Suzhou, China.

出版信息

Medicine (Baltimore). 2025 Jul 11;104(28):e42619. doi: 10.1097/MD.0000000000042619.

Abstract

RATIONALE

Elastofibroma dorsi is a slow-growing, ill-defined benign soft tissue tumor characterized by excessive proliferation of fibroblast tissue. Tumors are made up of collagen and coarse elastic fibers. At present, the pathogenesis is unknown, and the incidence is extremely low.

PATIENT CONCERNS

A middle-aged and elderly male was admitted to our hospital, with chronic chest pain and palpable bilateral symmetrical dorsal subscapular mass.

DIAGNOSES

Computed tomography showed the presence of bilateral soft tissue tumors, considering bilateral elastofibroma dorsi.

INTERVENTIONS AND OUTCOMES

The lesion was completely removed by surgery.

LESSONS

Elastofibroma dorsi is a relatively rare benign soft tissue tumor of the chest wall. For symptomatic patients with large tumor volumes, local tumor resection is feasible. It is recommended to routinely place negative pressure drainage tubes during surgery to effectively prevent postoperative local fluid accumulation. For postoperative patients with concurrent local fluid accumulation, the treatment effect of re-catheterization and drainage is good.

摘要

理论依据

背部弹力纤维瘤是一种生长缓慢、边界不清的良性软组织肿瘤,其特征为成纤维细胞组织过度增生。肿瘤由胶原蛋白和粗大的弹性纤维组成。目前,其发病机制尚不清楚,发病率极低。

患者情况

一名中老年男性因慢性胸痛及双侧对称的背部肩胛下可触及肿块入住我院。

诊断

计算机断层扫描显示双侧存在软组织肿瘤,考虑为双侧背部弹力纤维瘤。

干预措施及结果

通过手术将病变完全切除。

经验教训

背部弹力纤维瘤是一种相对罕见的胸壁良性软组织肿瘤。对于有症状且肿瘤体积较大的患者,局部肿瘤切除是可行的。建议术中常规放置负压引流管,以有效预防术后局部积液。对于术后并发局部积液的患者,再次置管引流的治疗效果良好。

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