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学科主题: 外科学
题名:
背部弹力纤维瘤10例诊治分析
其他题名: Diagnosis and treatment of elastofibroma dorsi: experience in 10 cases
作者: 王昌明; 宋世兵; 蒋斌; 裴斐; 贾易木; 修典荣; 张同琳
关键词: 肿瘤 ; 结缔组织 ; 外科手术 ; 体层摄影术 ; X线计算机 ; 磁共振成像 ; 弹力纤维瘤 ; Neoplasms,connective tissue ; Surgical procedures,operative ; Tomography,X-ray computed ; Magnetic resonance imaging ; Elastofibroma dorsi
刊名: 中华普通外科杂志
发表日期: 2009
DOI: 10.3760/cma.j.issn.1007-631X.2009.10.015
卷: 24, 期:10, 页:827-830
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 探讨背部弹力纤维瘤的诊断及治疗方法.方法 回顾性分析1997年1月至2008年4月收治的10例背部弹力纤维瘤的临床资料,总结弹力纤维瘤的临床特点,特征性的影像学表现,典型的病理改变,近远期手术疗效.其中男2例,女8例,年龄50~77岁,中位年龄65岁.发病部位均为肩胛下角,3例为双侧病变,7例为单侧病变.7例患者局部疼痛不适伴上肢活动时背部异物感,3例术前无症状.结果 本组10例,肿物直径4~12 cm,平均为(7.46±2.70)cm.除早期3例外,近期7例患者在手术前不依赖组织学检查而依据典型发病部位(肩胛下)及典型影像学(超声和/或CT、MRI)表现作出正确诊断.手术方式为全麻下肿物切除术.术后主要并发症为伤口积液(3例).穿刺抽液或置管引流后治愈.手术后以超声局部检查随访,随访时间4~125个月(中位时间11个月),无复发.结论 弹力纤维瘤是可以不依靠组织学检查,单纯依据典型体检结果及特征性影像学表现,在手术切除前即可作出正确诊断的独特类型.局部切除的近、远期效果良好. Objective To summarize the experience in the diagnosis and treatment of elastofibroma dorsi,focusing on the clinical features,the specific radiological characteristics,and the typical pathological alterations.Methods Clinical data of 10 cases of pathologically confirmed elastofibroma dorsi from January 1997 to April 2008 were retrospectively reviewed.Results Most patients were female(8/10)in this series.All the lesions were located within the muscles in the subscapular region.There were 13 lesions in 10 cases(3 cases with bilateral involvement).Seven patients complained of pain and feeling of foreign body,and three were asymptomatic.The size of the masses was between 4 centimeters to 12 centimeters,averaging at(7.46 ±2.70)centimeters.Except for the early 3 cases,accurate diagnosis was made in all the other 7 cases before the histological exams solely based on the physical examination and imaging findings.Marginal excision was done for all the cases under general anesthesia.Fluid accumulation,as the only kind of complication was found in 3 cases which was resolved by repeated paracentesis.No recurrence was found during the follow-up period(4 months to 125 months,median 11 months).Conclusion Elastofibroma dorsi is a rare,pseudotumoral lesion usually found in elderly women.It is a very special type of soft tissue tumors that its diagnosis can usually be made solely on the basis of unique imaging characteristics and physical examination before the histological exam.Surgical marginal excision is the choice of treatment with good short-term and long-term results.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/73408
Appears in Collections:北京大学第三临床医学院_普通外科_期刊论文

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作者单位: 1.北京大学第三医院普外科,100191
2.北京大学医学部病理科

Recommended Citation:
王昌明,宋世兵,蒋斌,等. 背部弹力纤维瘤10例诊治分析[J]. 中华普通外科杂志,2009,24(10):827-830.
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