四肢躯干侵袭性纤维瘤13例临床分析  

Clinical analysis of 13 cases aggressive fibromatosis on limbs and trunk

作　　者：贾玉庆[1,2] 耿春媛 魏慧明[1,2] 滕宇飞[1,2] 姚海宇[1,2] 

机构地区：[1]吉林大学第四医院 [2]一汽职工医院骨科,吉林长春130000 [3]吉林大学白求恩第一医院骨关节及运动医学科,吉林长春130000

出　　处：《中国现代医生》2015年第20期47-50,共4页China Modern Doctor

摘　　要：目的研究四肢关节侵袭性纤维瘤的诊断治疗方法。方法通过2010年1月~2014年12月我院收治13例四肢躯干侵袭性纤维瘤患者病例报道,总结该病治疗经验。结果中青年女性占全部患者比例53.84%,乳腺发病率23.07%,根据术后按照Enneking肿瘤分期,良性肿瘤10例,低度恶性3例;随访过程中,局部复发率为7.69%。结论四肢躯干部位侵袭性纤维瘤多发于乳腺及肌肉、肌腱丰富部位,青年女性好发,局部侵袭性生长,但不发生转移的肿瘤,临床诊断主要以病理形态学为依据,治疗方法主要以手术局部扩大切除为主,复发因素多于肿瘤体积、低度恶性程度及手术中是否做到切缘阴性有关,预后较好。Objective To summarize the diagnosis and treatment of aggressive fibromatosis on limbs and trunk. Methods All 13 cases of aggressive fibromatosis were reported to summarize the experience of treatment during January 2010 to December 2014. Results The proportion of middle and young female was 53.84% in all cases. The incidence of breast was 23.07%. According to Enneking staging of tumor, 10 cases were benign and 3 cases were low malignant potential. The recurrence rate was 7.69% during the follow-up. Conclusion The breast and the part which is plenti- ful of muscle and tendon in young-aged women are susceptible to the aggressive fibromatosis. Local invasive growth and no metastasis is the basic characteristic of the aggressive fibromatosis. Clinical diagnosis is mainly depended on pathological test. The extended resection is effective treatment.The recurrence rate is related to the volume of tumor, malignant potential and whether the margin of extended resection is clean.The prognosis is good.

关 键 词：肿瘤 侵袭性纤维瘤 诊断 治疗 

分 类 号：R738.6[医药卫生—肿瘤]