腹壁侵袭性纤维瘤误诊为子宫肌瘤1例及文献复习  

Aggressive fibromatosis of abdominal wall misdiagnosed as hysteromyoma:a case report and literature review

作　　者：杨庆东 彭泱泱 李绿洲 YANG Qingdong;PENG Yangyang;LI Lvzhou(Department of Gynecology,Dehong People's Hospital,Yunnan Province,Mangshi 678400,China)

机构地区：[1]云南省德宏州人民医院妇科,云南芒市678400

出　　处：《中国当代医药》2025年第9期138-142,共5页China Modern Medicine

摘　　要：侵袭性纤维瘤又称硬纤维瘤,是一种源自纤维组织且具有侵袭性和局部破坏性的良性肿瘤,疾病的临床表现通常为孤立性病灶,可发生在机体的任何部位,但以腹外、腹内及腹壁型居多,从生物特征来看与常规定义的恶性及良性肿瘤存在明显的区别。从临床诊断的角度来看,侵袭性纤维瘤由于缺乏特异性症状及影像学征象,因此早期诊断的难度较大。本报告从1例女性腹壁侵袭性纤维瘤患者的诊治经历着手,通过对其B超、CT、MRI的诊断结果与病理结果进行横向对比并对其手术效果进行随访,分析腹壁侵袭性纤维瘤的诊断与临床治疗。Invasive fibroma,also known as desmoid tumor,is an invasive and locally destructive benign tumor originating from fibrous tissue.The clinical manifestations of the disease are usually isolated lesions,which can occur in any part of the body,but most of them are extraabdominal,intra-abdominal and abdominal wall types.From the biological characteristics,there are obvious differences between malignant and benign tumors defined by the convention.From the point of view of clinical diagnosis,it is difficult to diagnose invasive fibroma early because of the lack of specific symptoms and imaging signs.This report starts with the diagnosis and treatment experience of a female patient with invasive fibroma of abdominal wall,and analyze the diagnosis and clinical treatment of invasive fibroma of abdominal wall by comparing the diagnosis results of B-ultrasound,CT and MRI with the pathological results and following up the surgical effect.

关 键 词：腹壁侵袭性纤维瘤 生物特征 临床症状 诊断 

分 类 号：R735[医药卫生—肿瘤]