语言下单独的纤维状瘤:一个罕见的临床遭遇
Monankita Sharma1, Prateek Mohapatra2, Aakriti Chandra1
1ENT and Head-neck Surgery, Seth GS Medical College and KEM Hospital, Mumbai, India.
BMJ case reports
|December 4, 2025
概括
一个罕见的单一纤维性瘤呈现为口腔底部质量. 综合活检分析对于准确诊断这些不常见的口腔瘤至关重要.
科学领域:
- 口腔病理学 口腔病理学
- 手术瘤学手术瘤学
- 诊断组织病理学的诊断.
背景情况:
- 孤独纤维性瘤 (SFTs) 是一种罕见的介质细胞瘤,可以发生在身体的各种部位,包括头部和部.
- 口腔SFT异常罕见,通常呈现为无症状质量,导致诊断挑战.
研究的目的:
- 报告一个口腔底部单一纤维瘤的病例.
- 突出诊断困难以及对罕见口腔瘤进行彻底的组织病理学和免疫组织化学评估的重要性.
主要方法:
- 临床表现是口腔底部逐渐扩大的软胀.
- 放射性评估表明有侵略性血管瘤病变.
- 栓塞后的外科切除,随后对活检样本进行了基因病理学和免疫组织化学分析.
主要成果:
- 一个3x3厘米的光滑,坚固,不柔软,粉红色的质量被确定在口腔的左侧,导致舌头的移位.
- 最初的放射学发现表明血管瘤病变.
- 组织病理学最初显示出血栓内皮瘤,但免疫组织化学证实了诊断为单一的纤维性瘤.
结论:
- 孤独的纤维性瘤可以在口腔底部呈现为罕见的质量.
- 准确的诊断需要临床,放射学,组织病理学和免疫组织化学研究的结合.
- 对活检样本的全面分析对于区分罕见的口腔瘤和确保适当的管理至关重要.
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