“包囊-含铁血黄素”纤维脂肪瘤的自发消退。

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Ultrasound Pub Date : 2025-07-26 DOI:10.1007/s40477-025-01060-5

Alejandro Arbona-Lampaya, Kumarasen Cooper, Jenny T Bencardino

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引用次数: 0

摘要

64岁男性，左后脚外侧有可触及、柔软、可压缩的浅表肿块，无其他症状。没有明显的既往病史。最初的超声和磁共振成像（MRI）研究显示肿块为囊肿样，含液体病变。活检结果显示为非典型黏液样和梭形细胞肿瘤，免疫组织化学倾向于“少铁血黄素”纤维脂肪瘤。活检后4个月，随访MRI显示肿瘤大小明显缩小，增强后增强减弱。考虑到含铁血黄素纤维脂肪瘤肿瘤复发和恶性转化的可能性，建议持续监测和完全手术切除。

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Spontaneous regression of "pauci-hemosiderotic" fibrolipomatous tumor.

A 64-year-old man presented with a palpable, soft, compressible, superficial mass on his left lateral hindfoot, with no other symptoms. No significant past medical history. Initial ultrasound and magnetic resonance imaging (MRI) studies characterized the mass as a cyst-like, fluid-containing lesion. Biopsy results indicated an atypical myxoid and spindle cell neoplasm, with immunohistochemistry favoring "pauci-hemosiderotic" fibrolipomatous tumor. Four months after the biopsy, follow-up MRI revealed substantial tumor size regression with decreased post contrast enhancement. Given the potential for recurrence and malignant transformation in hemosiderotic fibrolipomatous tumors, continuous monitoring and complete surgical excision are recommended.

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来源期刊

Journal of Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.10

自引率

15.00%

发文量

133

期刊介绍： The Journal of Ultrasound is the official journal of the Italian Society for Ultrasound in Medicine and Biology (SIUMB). The journal publishes original contributions (research and review articles, case reports, technical reports and letters to the editor) on significant advances in clinical diagnostic, interventional and therapeutic applications, clinical techniques, the physics, engineering and technology of ultrasound in medicine and biology, and in cross-sectional diagnostic imaging. The official language of Journal of Ultrasound is English.