Bhaskar A R, Dhir R S, Desai M, Mistry A A
Dept of Orthopaedics, KEM Hospital, Parel, Bombay, Maharashtra.
J Postgrad Med. 1994 Oct-Dec;40(4):225-7.
An 11 year old girl presented with gradually increasing swelling over left scapular region and limitation of movements. On examination, a mass with firm to hard consistency was found fixed to the scapula. Clinical diagnosis of fibromatosis was confirmed by needle biopsy. Radical excision of the tumor was carried out and the resultant large exposed area was covered by transpositional rotation of trapezius myocutaneous flap. Microscopic examination of excised tumor revealed spindle shaped elongated cells in the form of whorls and trabeculae. The post operative course of the patient was uneventful with no evidence of recurrence at the end of 22 months.
一名11岁女孩因左肩胛区肿胀逐渐加重及活动受限前来就诊。检查发现，一个质地硬韧至坚硬的肿块与肩胛骨相连。针吸活检确诊为纤维瘤病。对肿瘤进行了根治性切除，随后用斜方肌肌皮瓣转位旋转覆盖了由此产生的大面积创面。切除肿瘤的显微镜检查显示，肿瘤细胞呈梭形，细长，呈漩涡状和小梁状排列。患者术后恢复顺利，22个月后无复发迹象。
