胸壁侵袭性纤维瘤扩大切除并钛网重建1例  

Extended Resection and Titanium Mesh Reconstruction of Aggressive Fibroma of Chest Wall:a Case Report

作　　者：赖世昌 叶永强 王刚 李荣 LAI Shi-chang;YE Yong-qiang;WANG Gang;LI Rong(Department of Thoracic Surgery,Ganzhou Cancer Hospital,Ganzhou 341000,Jiangxi Province,China;Department of Pathology,Ganzhou Cancer Hospital,Ganzhou 341000,Jiangxi Province,China)

机构地区：[1]赣州市肿瘤医院胸外科,江西赣州341000 [2]赣州市肿瘤医院病理科,江西赣州341000

出　　处：《罕少疾病杂志》2024年第11期8-9,共2页Journal of Rare and Uncommon Diseases

摘　　要：24岁,女性,2021年因左侧胸痛到我院检查发现左侧胸外侧27mm×50mm肿物,与前锯肌边界不清。术前穿刺活检提示侵袭性纤维瘤。术中肿物扩大切除并钛网重建,术后2年未见肿瘤复发。术后病理提示:β-catenin(核质+)符合侵袭性纤维瘤。胸壁侵袭性纤维瘤临床罕见,缺乏特异性临床症状,术后易复发。目前尚无标准治疗方式。治疗上以主动监测以及手术为主的个体化综合治疗。A 24-year-old female presented to our hospital in 2021 due to left chest pain and found a 27mm×50mm mass on the left lateral thorax with unclear boundary with serratus anterior muscle.Preoperative biopsy suggested aggressive fibroma.The mass was resected extensively and titanium mesh reconstruction was performed during the operation.No tumor recurrence was found 2 years after operation.Postoperative pathology suggested thatβ-catenin(nuclear+)was consistent with invasive fibroma.Invasive fibroma of chest wall was rare and lacked specific clinical symptoms.It was easy to relapse after operation.At present,there is no standard treatment.The treatment is individualized comprehensive treatment based on active monitoring and surgery.

关 键 词：侵袭性纤维瘤 胸壁重建 

分 类 号：R735.4[医药卫生—肿瘤]