Schollhammer M, Guillet M H, Sassolas B, Guillet G
Service de dermatologie, CHU Morovan, Brest, France.
Arch Pediatr. 1995 Aug;2(8):750-4. doi: 10.1016/0929-693x(96)81245-0.
Dermatofibrosarcoma is a tumor relatively ignored in childhood.
A 11 year-old boy was referred because he suffered from a tumor of the neck, which had progressively developed after a cervical traumatism occurring 4 years earlier. Examination showed a tumor moderately infiltrated, attached to the overlying erythematous skin. Biopsy showed ill-limited dermal and hypodermal proliferation of fusiform cells with a storiform arrangement. Two successive excisions were necessary and the patient is well 2 years later.
This case confirms responsibility of previous traumatism, progressiveness of course and necessity of large excision.
皮肤纤维肉瘤是一种在儿童时期相对被忽视的肿瘤。
一名11岁男孩因颈部肿瘤前来就诊，该肿瘤在4年前的一次颈部创伤后逐渐发展。检查发现肿瘤有中度浸润，与上方的红斑皮肤相连。活检显示梭形细胞在真皮和皮下组织呈席纹状排列，增殖界限不清。需要连续进行两次切除，两年后患者情况良好。
本病例证实了既往创伤的相关性、病程的渐进性以及广泛切除的必要性。
