胸壁侵袭性纤维瘤病1例

Aggressive Fibromatosis of Chest Wall:A Case Report

目的通过分析1例胸壁侵袭性纤维瘤病(AF)的临床诊治过程,降低误诊及漏诊。方法结合文献分析1例胸壁AF女性患者的临床资料,术前及术中误诊的原因及解决措施。结果胸壁AF患者临床表现及影像学无特异性,术前诊断困难;术中切缘不干净易导致残留复发。结论对于乳腺既往纤维瘤手术史以及影像学提示胸壁肿物侵犯胸肌,术前病理穿刺提示梭型细胞瘤患者术中需根据冰冻结果采取根治性手术,且术后须长期随访。

Objective By analyzing the clinical diagnosis and treatment of a case of aggressive fibromatosis of chest wall(AF),we can reduce misdiagnosis and missed diagnosis.Methods Combined with the literature,the clinical data of a female patient with chest wall AF,the causes of preoperative and intraoperative misdiagnosis and solutions were analyzed.Results The clinical manifestations and imaging of patients with chest wall AF are nonspecific,and the preoperative diagnosis is difficult;Unclean incisional margin during operation is easy to cause residual recurrence.Conclusion For the previous history of breast fibroma surgery and imaging findings that chest wall tumors invade the chest muscle,preoperative pathological puncture suggests that patients with spindle cell tumors need to take radical surgery according to the frozen results during operation,and longterm follow-up after operation.