腹外型韧带样纤维瘤病1例

A Case of Extra-Abdominal Desmoids-Type Fibromatosis

目的:探讨韧带样纤维瘤病的临床特点、误诊原因及防范措施。方法:对2022年10月收治的1例曾被误诊为增生性肌炎的韧带样纤维瘤病患者的临床资料进行回顾性分析。结果:1例因左大腿快速增长的疼痛性肿物入院患者,曾误诊为增生性肌炎,入院后经多学科医师会诊,给予手术治疗,术后病理及免疫组织化学检查明确诊断韧带样纤维瘤病,术后恢复良好,尚在随访中,无复发。结论:韧带样纤维瘤病的临床误诊率高,病理及免疫组织化学检查可明确诊断。临床医师应加强对其认识,认真鉴别诊断,以减少和避免该病误诊误治。Objective: To investigate the clinical features, causes of misdiagnosis and preventive measures of desmoid fibromatosis. Methods: The clinical data of a patient with desmoid fibromatosis who was misdiagnosed as proliferative myositis in October 2022 were analyzed retrospectively. Results: One patient was misdiagnosed as proliferative myositis because of a painful mass growing rapidly in his left thigh. After admission, he was consulted by a multi-disciplinary physician and was given surgical treatment, the diagnosis of desmoid fibromatosis was confirmed by pathology and immuno-histochemistry after operation. The postoperative recovery is good and still in follow-up, with no recurrence. Conclusions: The misdiagnosis rate of desmoid fibromatosis is high. The diagnosis can be made by pathological and immunohistochemical examination. Clinicians should pay more attention to its differential diagnosis so as to avoid misdiagnosis and mistreatment.