韌帶樣型纖維瘤病的超聲圖像及病理基礎_《華西醫學》

作者：

敬文莉 ¹ , 沙曉溪 ² , 鐘曉緋 ¹ , 王冬梅 ¹ , 于雷 ¹ ,  彭玉蘭 ¹

1 四川大學華西醫院超聲科（成都，610041）;2 成都中醫藥大學附屬醫院超聲科;

關鍵詞：

超聲韌帶樣纖維瘤侵襲性

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目的　通過總結韌帶樣型纖維瘤病（DF）的超聲圖像表現和病理學結構，以提高對DF的認識和診斷水平。方法　回顧性分析2005年1月－2011年12月70例經手術和病理組織學證實為DF患者的超聲圖像和病理組織學結果。結果　 DF腫塊的超聲表現與病理結構密切相關。70例DF中腹部外型41例（58.6%）、腹壁型18例（25.7%）、腹內型11例（15.7%）。DF的典型超聲圖像表現為沿肌纖維浸潤性生長的低回聲腫塊,累及多塊肌肉；腫塊無包膜,多數形態不規則、邊界不清；其中8例包繞和侵犯相鄰骨質, 12例腫瘤壓迫或侵犯鄰近血管、神經、腸管等組織；40例瘤體內探及Ⅰ級血流信號，4例探及Ⅲ級血流信號；所有病變均未見壞死出血和囊變，病變周圍無淋巴結腫大。結論　DF的聲像圖表現有較強的特征性，超聲能較為準確判斷腫塊累及范圍、是否侵犯相鄰骨質、與毗鄰血管、神經的關系，有助于制定手術計劃。

引用本文： 敬文莉,沙曉溪,鐘曉緋,王冬梅,于雷,彭玉蘭. 韌帶樣型纖維瘤病的超聲圖像及病理基礎. 華西醫學, 2012, 27(10): 1501-1504. doi: 復制

1.	劉復生,劉彤華. 腫瘤病理學[M]. 北京醫科大學協和醫科大學聯合出版社,1997：1016.
2.	Fletcher CDM, Unni KK, Mertens F. World Health Organization classification of tumours. Pathology and genetics of tumours of soft tissue and bone[M]. Lyon: IARC Press, 2002: 83-84.
3.	Breidahl WH, Newman JS, Taljanovic MS, et al. Power Doppler sonography in tenosynovitis: significance of the peritendinous hypoechoic rim[J]. Ultrasound Med, 1998,17: 103-107.
4.	楊吉龍, 王堅, 朱雄增. 韌帶樣型纖維瘤病的病理學和遺傳學研究進展[J]. 中華病理學雜志, 2005, 34(8) : 537-539.
5.	Lewis JJ, Boland PJ, Leung DH, et al. The enigma of desmoid tumors[J]. Ann Surg, 1999, 229: 866-872.
6.	Corbel L, Souissi M, Chretien Y, et al. Desmoid tumor of the mesentery. An uncommon cause of ureteral obstruction[J]. J Radiol, 1992, 73: 669-672.
7.	Anthony T, Rodriguez-bigas MA, Weber TK, et al. Desmoid tumors[J]. J Am Coll Surg, 1996, 182: 369-377.
8.	Kotiligam D, Lazar AJ, Pollock RE, et al. Desmoid tumor: a disease opportun eformolecu larinsights[J]. Histopathology, 2008, 23(1): 117-126.
9.	Vandevenne JE, De Schepper AM, De Beuckeleer L, et al. Newconcepts in understanding evolution of desmoid tumors: MR imaging of 30 lesions[J]. Eur Radiology, 1997, 7(7): 1013-1019.
10.	Lefevre JH , Parc Y, Kerneis S, et al. Risk factors for development of desmoid tumours in familial adenomatous polyposis[J]. Br J Surg, 2008, 95(9): 1136-1139.
11.	Lopez R, Kemalyan N, Moseley HS, et al. Problems in diagnosis and management of desmoid tumors[J]. Am J Surg, 1990, 159: 450-453.
12.	McKinnon JG, Neifeld JP, Kay S, et al. Management of desmoid tumors[J]. Surg Gynecol Obstet, 1989, 169: 104-106.
13.	Rampone B, Pedrazzani C, Marrelli D, et al. Updates on abdominal desmoid tumors[J]. World J Gastroenterol, 2007, 13: 5985-5988.
14.	Grouwels P, Verswijvel G, Vandevenne J, et al. Abdominal walldesmoid tumor[J]. JBR-BTR, 2007, 90(3): 190-191.

1. 　劉復生,劉彤華. 腫瘤病理學[M]. 北京醫科大學協和醫科大學聯合出版社,1997：1016.
2. 　Fletcher CDM, Unni KK, Mertens F. World Health Organization classification of tumours. Pathology and genetics of tumours of soft tissue and bone[M]. Lyon: IARC Press, 2002: 83-84.
3. 　Breidahl WH, Newman JS, Taljanovic MS, et al. Power Doppler sonography in tenosynovitis: significance of the peritendinous hypoechoic rim[J]. Ultrasound Med, 1998,17: 103-107.
4. 　楊吉龍, 王堅, 朱雄增. 韌帶樣型纖維瘤病的病理學和遺傳學研究進展[J]. 中華病理學雜志, 2005, 34(8) : 537-539.
5. 　Lewis JJ, Boland PJ, Leung DH, et al. The enigma of desmoid tumors[J]. Ann Surg, 1999, 229: 866-872.
6. 　Corbel L, Souissi M, Chretien Y, et al. Desmoid tumor of the mesentery. An uncommon cause of ureteral obstruction[J]. J Radiol, 1992, 73: 669-672.
7. 　Anthony T, Rodriguez-bigas MA, Weber TK, et al. Desmoid tumors[J]. J Am Coll Surg, 1996, 182: 369-377.
8. 　Kotiligam D, Lazar AJ, Pollock RE, et al. Desmoid tumor: a disease opportun eformolecu larinsights[J]. Histopathology, 2008, 23(1): 117-126.
9. 　Vandevenne JE, De Schepper AM, De Beuckeleer L, et al. Newconcepts in understanding evolution of desmoid tumors: MR imaging of 30 lesions[J]. Eur Radiology, 1997, 7(7): 1013-1019.
10. 　Lefevre JH , Parc Y, Kerneis S, et al. Risk factors for development of desmoid tumours in familial adenomatous polyposis[J]. Br J Surg, 2008, 95(9): 1136-1139.
11. 　Lopez R, Kemalyan N, Moseley HS, et al. Problems in diagnosis and management of desmoid tumors[J]. Am J Surg, 1990, 159: 450-453.
12. 　McKinnon JG, Neifeld JP, Kay S, et al. Management of desmoid tumors[J]. Surg Gynecol Obstet, 1989, 169: 104-106.
13. 　Rampone B, Pedrazzani C, Marrelli D, et al. Updates on abdominal desmoid tumors[J]. World J Gastroenterol, 2007, 13: 5985-5988.
14. 　Grouwels P, Verswijvel G, Vandevenne J, et al. Abdominal walldesmoid tumor[J]. JBR-BTR, 2007, 90(3): 190-191.

《華西醫學》

韌帶樣型纖維瘤病的超聲圖像及病理基礎

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《華西醫學》

韌帶樣型纖維瘤病的超聲圖像及病理基礎

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