Millon S J, Bush D C, Garbes A D
Department of Orthopaedic Surgery, Geisinger Medical Center, Danville, PA 17822-2130.
J Hand Surg Am. 1994 Sep;19(5):788-93. doi: 10.1016/0363-5023(94)90184-8.
Seven cases of fibroma of tendon sheath in the hand are reviewed. These tumors are common enough to be considered in the differential diagnosis of a soft tissue tumor in the hand, as they comprised 7 of our series of 208 soft tissue hand tumors excised over a 15-year period. A marginal excision was performed in each case, and no tumor recurred after a mean follow-up interval of 8 years. The fibromas were adherent to tendons, tendon sheaths, and neurovascular structures, and thus were more difficult to excise without morbidity than other soft tissue hand tumors.
本文回顾了7例手部腱鞘纤维瘤。这些肿瘤较为常见,在手部软组织肿瘤的鉴别诊断中应予以考虑,因为在我们15年间切除的208例手部软组织肿瘤系列中,它们占了7例。每例均行边缘切除术,平均随访8年后无肿瘤复发。纤维瘤与肌腱、腱鞘及神经血管结构粘连,因此与其他手部软组织肿瘤相比,在不造成损伤的情况下更难切除。