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腹膜后侵袭性纤维瘤病1例报告并文献复习

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目的 探讨侵袭性纤维瘤病的临床特征及诊断治疗方法.方法 报道1例腹膜后侵袭性纤维瘤致左肾重度积水患者的病历资料并复习相关文献,总结侵袭性纤维瘤病的临床诊断、病理特征和治疗方法.结果 患者行腹膜后肿瘤切除,保留肾脏.肿瘤与腰大肌紧密粘连,无法完整切除,术后病理检查诊断为侵袭性纤维瘤,拟行放疗及化疗,但患者未执行,术后随访10个月复发.结论 本病为良性疾病,确诊靠术后病理学检查,生物学行为具有侵袭性生长的特点,治疗以手术为主结合放疗和化疗.
Retroperitoneal aggressive fibromatosis:a case report and literatures review
Objective To explore the clinical characteristic and the diagnosis and treatment methods of aggressive fi-bromatosis(AF). Methods A case of AF was reported, who suffered from severe left kidney hydronephrosis for the AF.and the literatures about the AF was reviewed. To sum the clinical pathologic characteristics of AF,the diagnosis and treatment for AF. Results The tumor was resected partly because of adhereing closely to the muscle. The left renal was reserved. The pathological diagnosis was AF. The patient who was advised to have the chemotherapy or radiotherapy, refused and recurred 10 months later. Conclusions The AF is a kind of benign disease,which is aggressive in morphology and the final diagnosis is depended on pathology. The AF is treated mainly by surgery and combined with chemotherapy or/and radiotherapy.

Retroperitoneal Neoplasms/diagnosisFibroma/diagnosisCase Reports

石志豪、方克伟、李泽惠

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昆明医学院第二附属医院泌肾外科,云南昆明650101

腹膜后肿瘤/诊断/治疗 纤维瘤/诊断/治疗 病例报告

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(13)
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