腹壁脱失性蝶形瘤:病例报告

Ana Karen Mena Zenteno, Aldo Olvera, Cynthia Sánchez, Jorge A. Montero
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引用次数: 0

摘要

蝶形细胞瘤是一种罕见的肿瘤类型,依赖于分化良好的成纤维单克隆增生,具有很强的非转移性局部侵袭能力,占软组织肿瘤的<3%,年发病率为5-6例/百万人,病因不明,临床表现取决于肿瘤的位置。我们介绍了一例 53 岁女性患者的病例,她在急诊科就诊时表现出腹壁脓肿的临床特征,但无明显病史。脓肿引流术加上腹壁前区肌肉组织活检,组织病理学报告与蝶形细胞瘤吻合,决定在第二次干预时进行根治性手术治疗。蝶形细胞瘤非常罕见,因为其诊断和治疗需要采用多学科方法;对于在非关键部位患有蝶形细胞瘤的患者,目前首选的治疗方法是积极监测,由于其有可能自发消退,目前建议至少进行 1 到 2 年的积极监测。所有现有疗法的主要目标都是保持或改善患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Absceded abdominal wall desmoid tumor: a case report
Desmoid tumor is a rare type of tumor dependent on a well-differentiated fibroblastic monoclonal proliferation with a high capacity for non-metastatic local invasion, it constitutes <3% of soft tissue neoplasms, an annual incidence of 5-6 cases per million is reported, its etiology is unknown and its clinical presentation depends on the location of the tumor. We presented a case of a 53-year-old female patient who presented to the emergency department with clinical characteristics of abdominal wall abscess with no significant history of its appearance. Abscess drainage plus biopsy of muscle tissue in the anterior region of the abdominal wall was performed, histopathology report compatible with desmoid tumor, radical surgical treatment was decided in a second intervention. Desmoid tumor is rare, since its diagnosis and treatment require a multidisciplinary approach; Active surveillance is currently the treatment of choice for patients who have DD in noncritical locations, and at least 1 to 2 years of active surveillance is now recommended because of its likelihood of spontaneous regression. The main objective of all existing therapies is to preserve or improve the quality of life of the patient.
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