腹壁侵袭性纤维瘤误诊1例并文献复习

One case of misdiagnosed invasive fibroma on abdominal wall and literature review

目的探讨1例误诊的腹壁侵袭性纤维瘤患者诊疗过程并复习相关文献,分析侵袭性纤维瘤患者的临床病理特征及诊治方法,提高临床医生对侵袭性纤维瘤的认识。方法患者,女,37岁,因自触及腹部刀口包块半年就诊。查体于剖宫产疤痕左下方扪及约5 cm×3 cm大小肿物,质硬,术前诊断为腹壁刀口子宫内膜异位症,行腹壁肿物切除术。结果术后组织病理学提示侵袭性纤维瘤,于外院行二次手术,现恢复良好。结论对于有剖宫产手术史的腹壁肿物,临床工作中应注意腹壁侵袭性纤维瘤的鉴别诊断,以避免二次手术治疗。

Objective To explore the diagnosis and treatment process of one misdiagnosed patient with invasive fibroma on abdominal wall,review relevant literatures,analyze the clinicopathological characteristics and diagnosis and treatment methods of invasive fibroma patients,and improve clinicians'understanding of invasive fibroma.Methods One 37-year-old female patient presented to the hospital because of a self-inflicted abdominal incision mass for 6 months.The physical examination showed that a hard mass with a size of about 5 cm×3 cm was detected at the lower left of the cesarean section scar.Preoperative diagnosis was considered as abdominal wall incision endometriosis,and abdominal wall tumor resection was performed.Results Postoperative histopathology revealed invasive fibroma,and a second operation was performed in another hospital.Conclusion For abdominal wall mass patients with a history of cesarean section,attention should be paid to the differential diagnosis of invasive fibroma on abdominal wall in clinical work to avoid secondary surgical treatment.