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结节性筋膜炎:250例患者的分析

Nodular fasciitis: an analysis of 250 patients.

作者信息

Shimizu S, Hashimoto H, Enjoji M

出版信息

Pathology. 1984 Apr;16(2):161-6. doi: 10.3109/00313028409059097.

DOI:10.3109/00313028409059097
PMID:6462780
Abstract

A clinicopathological analysis was made of data from 250 cases of nodular fasciitis. These benign nodules usually occurred in young and middle-aged adults in the 4th and 5th decades, most often in the forearm (27%) followed by the thigh (17%) and the upper arm (12%), and grew rather rapidly to reach a mean diameter of 1.5 cm, usually with slight tenderness. Lesions in nodular fasciitis could be separated into 3 types based on a range of histological features, modified from those of Price et al.: myxoid, cellular and fibrous. This subgrouping seemed to cover adequately the spectrum of histological appearances observed in nodular fasciitis. It was roughly correlated with the duration of the nodule. The mitotically active myxoid form tended to have the shortest history, the fibrous the longest, while that of the cellular group was of intermediate duration.

摘要

对250例结节性筋膜炎病例的数据进行了临床病理分析。这些良性结节通常发生在40至50岁的中青年人群中,最常见于前臂(27%),其次是大腿(17%)和上臂(12%),生长相当迅速,平均直径达1.5厘米,通常有轻微压痛。根据一系列组织学特征,结节性筋膜炎的病变可分为3种类型,这是在Price等人的分类基础上修改而来的:黏液样型、细胞型和纤维型。这种亚分类似乎充分涵盖了结节性筋膜炎中观察到的组织学表现范围。它与结节的病程大致相关。有丝分裂活跃的黏液样型病程往往最短,纤维型最长,而细胞型的病程处于中间。

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