在下唇粘膜中产生的皮肤纤维瘤突起:一个病例报告和文献综述
K Chihara1, K Yamagata1, K Maeda2
1Department of Oral and Maxillofacial Surgery, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
International journal of oral and maxillofacial surgery
|January 25, 2025
概括
皮质纤维瘤突起 (DFSP) 是一种罕见的口腔癌. 这一案例突显了唇部DFSP的成功外科切除,强调了防止复发的广泛边际的重要性.
科学领域:
- 在瘤学瘤学.
- 口腔病理学 口腔病理学
- 手术瘤学手术瘤学
背景情况:
- 皮质纤维细胞瘤突起 (DFSP) 是一种罕见的,低度的恶性皮肤瘤.
- 口腔DFSP异常罕见,这给诊断和治疗带来了挑战.
- DFSP表现出潜入式增长模式和较高的局部复发率.
研究的目的:
- 报告一种极为罕见的DFSP病例发生在唇部粘膜上.
- 强调诊断标准和口腔DFSP的成功管理.
- 突出全面手术切除的重要性,以获得良好的结果.
主要方法:
- 一个21岁的日本男子的案例研究,患有反复复发的唇部质量.
- 临床检查显示,在下唇粘膜和指导层上有一个固化的瘤.
- 在全身麻醉下用宽边缘 (>10毫米) 进行手术切除,包括全厚唇部粘膜,脸,覆盖皮肤和胸部.
主要成果:
- 病理学检查显示,状细胞对α-平滑肌动蛋白和CD34.4呈阳性.
- DFSP的诊断证实基于他的病理学和免疫组织化学发现.
- 患者经历了一个无事件的术后过程,在一年多的时间里没有观察到复发.
结论:
- 唇膜粘膜的DFSP是一种非常罕见的临床实体.
- 早期诊断和完全的外科切除有明确的边缘对于管理口腔DFSP至关重要.
- 这一案例强调了积极的手术管理在预防局部侵入性DFSP复发方面的有效性.
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