Ultrasonic Imaging and Pathologic Basis of Desmoid-type Fibromatosis_West China Medical Journal

Authors：

JING Wenli ¹ , SHA Xiaoxi ² , ZHONG Xiaofei ¹ , WANG Dongmei ¹ , YU lei ¹ ,  PENG Yulan ¹

1. Department of Ultrasonography, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

PENG Yulan, Email: jingwldragon@sohu.com

Keywords：

超声; 韧带样纤维瘤; 侵袭性

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目的　通过总结韧带样型纤维瘤病（DF）的超声图像表现和病理学结构，以提高对DF的认识和诊断水平。方法　回顾性分析2005年1月－2011年12月70例经手术和病理组织学证实为DF患者的超声图像和病理组织学结果。结果　 DF肿块的超声表现与病理结构密切相关。70例DF中腹部外型41例（58.6%）、腹壁型18例（25.7%）、腹内型11例（15.7%）。DF的典型超声图像表现为沿肌纤维浸润性生长的低回声肿块,累及多块肌肉；肿块无包膜,多数形态不规则、边界不清；其中8例包绕和侵犯相邻骨质, 12例肿瘤压迫或侵犯邻近血管、神经、肠管等组织；40例瘤体内探及Ⅰ级血流信号，4例探及Ⅲ级血流信号；所有病变均未见坏死出血和囊变，病变周围无淋巴结肿大。结论　DF的声像图表现有较强的特征性，超声能较为准确判断肿块累及范围、是否侵犯相邻骨质、与毗邻血管、神经的关系，有助于制定手术计划。

Citation： JING Wenli,SHA Xiaoxi,ZHONG Xiaofei,WANG Dongmei,YU lei,PENG Yulan. Ultrasonic Imaging and Pathologic Basis of Desmoid-type Fibromatosis. West China Medical Journal, 2012, 27(10): 1501-1504. doi: Copy

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1. 　刘复生,刘彤华. 肿瘤病理学[M]. 北京医科大学协和医科大学联合出版社,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. 　杨吉龙, 王坚, 朱雄增. 韧带样型纤维瘤病的病理学和遗传学研究进展[J]. 中华病理学杂志, 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.

West China Medical Journal

Ultrasonic Imaging and Pathologic Basis of Desmoid-type Fibromatosis

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