Schwartz R A, Powers C N, Wakely P E, Kellman R M
Department of Pathology, State University of New York Health Science Center, Syracuse, USA.
Arch Otolaryngol Head Neck Surg. 1997 Mar;123(3):301-4. doi: 10.1001/archotol.1997.01900030075010.
Fibromatosis colli (FC), also known as sternocleidomastoid tumor of infancy, is a benign spindle cell lesion of the sternocleidomastoid muscle. It usually is seen in the first few weeks of life and is the most common cause of a neck mass in the perinatal period. Although FC may lead to congenital muscular torticollis requiring surgical intervention, if the diagnosis of FC is certain, the usual initial treatment option is conservative management.
To show the utility of fine-needle aspiration in the diagnosis of FC.
Five cases in which fine-needle aspiration was used in the evaluation of patients with FC were identified retrospectively by a search of the cytopathology files of the State University of New York Health Science Center at Syracuse and the Virginia Commonwealth University, Medical College of Virginia, Richmond.
Fine-needle aspiration yielded an initial diagnosis of FC in 4 of the 5 cases. Smears made from the aspirated material were of low cellularity, but showed a characteristic population of spindle-cell fibroblasts. In addition to these fibroblasts, a variable amount of degenerating skeletal muscle was present in the background.
With the collaborative efforts of otolaryngologists and pathologists, fine-needle aspiration can be used to confirm a clinical diagnosis of FC while avoiding the expense and risk of open biopsy.
颈部纤维瘤病（FC），也称为婴儿胸锁乳突肌肿瘤，是一种胸锁乳突肌的良性梭形细胞病变。它通常在出生后的头几周出现，是围产期颈部肿块最常见的原因。虽然FC可能导致先天性肌性斜颈需要手术干预，但如果FC的诊断确定，通常的初始治疗选择是保守治疗。
展示细针穿刺在FC诊断中的作用。
通过检索纽约州立大学锡拉丘兹健康科学中心和弗吉尼亚联邦大学弗吉尼亚医学院里士满分校的细胞病理学档案，回顾性确定了5例使用细针穿刺评估FC患者的病例。
5例中有4例通过细针穿刺初步诊断为FC。吸取材料制成的涂片细胞数量少，但显示出特征性的梭形细胞成纤维细胞群。除了这些成纤维细胞外，背景中还存在不同数量的变性骨骼肌。
在耳鼻喉科医生和病理学家的共同努力下，细针穿刺可用于确诊FC的临床诊断，同时避免开放活检的费用和风险。
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