纤维瘤性皮质纤维瘤突起:在头皮后部迅速生长的30厘米质量
Bhoowit Lerttiendamrong1, Pavinee Annoppornchai1, Pasu Promniyom1
1Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Asian biomedicine : research, reviews and news
|October 20, 2023
概括
皮肤纤维素瘤突起体 (DFSP) 可以转化为纤维素瘤,构成重大风险. 这一案例突出显示了快速生长的纤维瘤性DFSP的成功手术治疗.
科学领域:
- 在瘤学瘤学.
- 皮肤病理学 皮肤病理学
背景情况:
- 皮质纤维细胞瘤突起 (DFSP) 是一种罕见的皮肤类肉瘤.
- DFSP的纤维瘤转化 (FT) 增加了复发和转移的风险.
研究的目的:
- 报告一个罕见的快速进展的头皮纤维瘤性皮质纤维瘤突起 (DFSP) 病例.
- 要突出临床表现,管理和结果的这种侵略性的DFSP亚型.
主要方法:
- 一个30多岁的男性的案例介绍,他有一个大,快速增长的尾质量.
- 诊断成像包括脑部,部和胸部的CT扫描.
- 手术宽切除2厘米的边缘,随后延迟的重建自由和皮肤移植.
- 纤维瘤性DFSP3级病理确认,CD34表达减少.
主要成果:
- 一个40x30厘米快速扩大的头皮质量被手术切除.
- 病理学证实了纤维沙瘤性DFSP3级.
- 患者经历了成功的延迟重建.
- 在术后3个月没有观察到复发.
结论:
- 侵袭性纤维瘤性DFSP需要立即进行手术.
- 广泛的切除和适当的重建对于管理大型DFSP至关重要.
- 早期的术后监测对于检测潜在的复发至关重要.
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