摘要
目的探讨增生性筋膜炎的临床病理特征及鉴别诊断要点。方法回顾归纳分析2003~2009年9例增生性筋膜炎临床病理资料。结果增生性筋膜炎好发部位为四肢及躯干,多发于40~70岁中老年患者,生长迅速;组织病理学表现为不等量黏液基质、纤维母细胞、胶原纤维和炎细胞背景下出现具有诊断意义的神经节样大细胞;免疫组化主要表达波形蛋白（Vim）和平滑肌肌动蛋白（SMA）。结论增生性筋膜炎是一种少见的增生性病变,诊断应抓住其临床、组织学特征,掌握其鉴别诊断,防止误诊。
Objective To explore the clinical and histological features and differential diagnosis of proliferative fasciitis.Methods Clinical data of 9 cases of proliferative fasciitis from 2003 to 2009 were analyzed retrospectively.Results Proliferative fasciitis was a fast growing tumor that occurred predominantly in extremities and trunk of middle and senile patients of 40 to 70 years.Typical ganglion-like-cells revealed under the background of mucoid stroma,fibroblast,collagen fiber and inflammatory cells.Vimentin and smooth muscle actin？were expressed.Conclusion Proliferative fasciitis is a scarce proliferative lesion.Clinical and histological features and the method of differential diagnosis should be mastered to diagnose proliferative fasciitis.
出处
《实用医院临床杂志》
2010年第5期63-64,共2页
Practical Journal of Clinical Medicine
关键词
增生性筋膜炎
病理学
鉴别诊断
Proliferative fasciitis
Histopathology
Differential diagnosis
