组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2022, Vol. 18 ›› Issue (6): 513-.

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误诊韧带样型纤维瘤病1例并文献复习

  

  • 出版日期:2022-12-01 发布日期:2023-01-12

Misdiagnosed desmoid-type fibromatoses: Case report and literature review

  • Online:2022-12-01 Published:2023-01-12

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摘要： 韧带样型纤维瘤病（Desmoid-type fibromatosis，DTF）是起源于筋膜或肌肉、腱膜组织中的成纤维细胞或肌成纤维细胞的罕见良性软组织肿瘤，特征是浸润性生长、局部复发倾向但不发生远处转移。DTF患者应尽早治疗，手术完整切除，辅以放疗和/或化疗可降低DTF复发率。本文报道1例被误诊为弹力纤维瘤的DTF患者，予以手术完整切除，随访至今未见复发。

关键词: 韧带样型纤维瘤病, 　侵袭性, 　弹力纤维瘤, 　误诊

Abstract: Desmoid-type fibromatosis (DTF) is a rare benign soft-tissue tumor originating in fibroblasts or myofibroblasts in fascia or muscle, tendon tissue, characterized by infiltrative growth, tendency to local relapse but no distant metastasis. Patients with DTF should be treated as early as possible, and complete surgical resection supplemented by radiation therapy or chemotherapy may reduce DTF recurrence rate. In this paper, a patient with DTF who was misdiagnosed as elastofibroma was reported. After complete surgical resection, the patient was discharged from hospital， and no recurrence was observed during follow-up.

Key words: Desmoid-type fibromatosis, 　Invasiveness, 　Elastofibroma, 　Misdiagnosis