摘要
腹内侵袭性纤维瘤病是一种较罕见的疾病,因症状及辅助检查征象不典型,临床上常被误认为卵巢或胃肠道肿瘤.回顾分析1例育龄期女性患者因盆腹腔巨大肿物行彩色超声检查提示卵巢来源而被误诊为卵巢肿瘤的诊疗经过.该患者彩色超声考虑卵巢来源肿瘤,后行磁共振成像(magnetic resonance imaging,MRI)考虑间质瘤可能,因性质待定遂行手术探查,术中探查其来源为横结肠,肛肠科协助将肿物完整切除,术后组织病理学及免疫组织化学确诊为结肠侵袭性纤维瘤病.术后随访2年余,患者恢复尚可,暂无复发征象.
Abstract
Aggressive abdominal fibromatosis is a rare disease that is often misdiagnosed as carcinoma from ovarian or gastrointestinal due to untypical clinical signs and accessory examination symptoms.A retrospective study was conducted to analyze the diagnosis and treatment procedure of a women childbearing age who was misdiagnosed as ovarian tumor after color Doppler ultrasound examination due to huge abdominal and pelvic masses.Stromal tumor was considered according to the result of MRI.Exploration surgery was performed and the carcinoma deriving from transversum colon was identified.Doctors of anorectal department helped to remove the tumor completely.The postoperative histopathology and immunohistochemistry results suggested a aggressive fibromatosis disease of the colon.After more than 2 years'follow-up,the patient recovered well and there is no signs of recurrence.
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