甲状腺癌术后并发侵袭性纤维瘤的诊断与手术治疗  

Diagnosis and treatment of aggressive fibromatosis after thyroidectomy

作　　者：杨英[1] 谢玉芊 齐小梅[1] 杨新华[1] 

机构地区：[1]第三军医大学西南医院乳腺外科,重庆400038 [2]第三军医大学学员七营,重庆400038

出　　处：《局解手术学杂志》2016年第7期487-490,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：重庆市社会民生科技创新专项课题(cstc 2015shmszx 120072)

摘　　要：目的探讨甲状腺癌术后并发侵袭性纤维瘤的诊治方法和经验。方法 2014年1月16日我院收治1例甲状腺癌患者,在甲状腺癌术后8个月常规随访时发现左侧颈部肿块,超声检查提示左颈部3-5区肌层内见58 mm×30 mm低回声,进一步穿刺病检诊断为侵袭性纤维瘤,再次入院行左侧颈部肿瘤根治性切除术。本文收集、整理此例患者的临床、病理以及影像学资料,结合文献探讨其诊治经验。结果患者行左侧颈部包块肿瘤根治性切除术后病理确诊断确诊为左侧颈部侵袭性纤维瘤。患者积极配合围手术期治疗,术后恢复较好,随访至今未见复发。讨论甲状腺癌并发侵袭性纤维瘤患者需要早期确诊并及早手术治疗。Objective To investigate the diagnosis and treatment of aggressive fibromatosis after thyroidectomy. Methods One patient who were admitted into our hospital on January 16,2014 were discovered to have left cervical mass at the regular follow-up 8 months after opertaion. The ultrasonic examination showed that there were low echo area of 58 mm × 30 mm in the 3 ~ 5 muscular layer at the left neck.And it was diagnosed as aggressive fibromatosis through the puncture disease inspection. Whereafter,the patient were readmitted into hospital and recieved radical resection of the tumor on left side of the neck. The clinical,pathological and radiological data of the patient were collected and analyzed so ao to discuss the diagnosis and treatment experience combined with related literatures. Results Postoperative pathologic examination confirmed that it was aggressive fibromatosis. The patient was actively cooperated with perioperative treatment,and the postoperative recovery was good with no local recurrence during the follow-up up to now. Conclusion Early diagnosis and surgical treatment are needed for patients with aggressive fibromatosis after thyroidectomy.

关 键 词：甲状腺癌 侵袭性纤维瘤 诊断 手术治疗 

分 类 号：R581[医药卫生—内分泌]