误诊为卵巢肿瘤的结肠侵袭性纤维瘤病一例

doi:10.12280/gjfckx.20231101

国际妇产科学杂志 ›› 2024, Vol. 51 ›› Issue (3): 271-273.doi: 10.12280/gjfckx.20231101

• 妇科肿瘤研究：病例报告 • 上一篇下一篇

误诊为卵巢肿瘤的结肠侵袭性纤维瘤病一例

杨祎, 刘华()

261053 山东省潍坊市，山东第二医科大学（杨祎）;潍坊医学院附属医院（刘华）

收稿日期:2023-12-28 出版日期:2024-06-15 发布日期:2024-06-25
通讯作者: 刘华 E-mail:345208565@qq.com

A Case Report of Colon Aggressive Fibromatosis Misdiagnosed as Ovarian Tumor

YANG Yi, LIU Hua()

Shandong Second Medical University, Weifang 261053, Shandong Province, China (YANG Yi); The Affiliated Hospital of Weifang Medical University,Weifang 261000, Shandong Province, China (LIU Hua)

Received:2023-12-28 Published:2024-06-15 Online:2024-06-25
Contact: LIU Hua E-mail:345208565@qq.com

摘要/Abstract

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。

关键词: 卵巢肿瘤, 纤维瘤, 误诊, 诊断, 病例报告

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.

Key words: Ovarian neoplasms, Fibromatosis, Diagnostic errors, Diagnosis, Case reports

杨祎, 刘华. 误诊为卵巢肿瘤的结肠侵袭性纤维瘤病一例[J]. 国际妇产科学杂志, 2024, 51(3): 271-273.

YANG Yi, LIU Hua. A Case Report of Colon Aggressive Fibromatosis Misdiagnosed as Ovarian Tumor[J]. Journal of International Obstetrics and Gynecology, 2024, 51(3): 271-273.

图/表 1

参考文献 13

[1]	Stout AP. Juvenile fibromatoses[J]. Cancer, 1954, 7(5):953-978. doi: 10.1002/1097-0142(195409)7:5<953::aid-cncr2820070520>3.0.co;2-w. pmid: 13199773
[2]	Otero S, Moskovic EC, Strauss DC, et al. Desmoid-type fibromatosis[J]. Clin Radiol, 2015, 70(9):1038-1045. doi: 10.1016/j.crad.2015.04.015. pmid: 26162574
[3]	Riedel RF, Agulnik M. Evolving strategies for management of desmoid tumor[J]. Cancer, 2022, 128(16):3027-3040. doi: 10.1002/cncr.34332. pmid: 35670122
[4]	Sakai T, Hamada S, Koike H, et al. Is mutation analysis of β-catenin useful for the diagnosis of desmoid-type fibromatosis? A systematic review[J]. Jpn J Clin Oncol, 2020, 50(9):1037-1042. doi: 10.1093/jjco/hyaa080. pmid: 32533146
[5]	Xie J, Lai S, Wang Y, et al. Case report: A rare case of desmoid-type fibromatosis originating in the small intestine[J]. Front Med(Lausanne), 2023,10:1291945. doi: 10.3389/fmed.2023.1291945.
[6]	Garcia-Ortega DY, Martín-Tellez KS, Cuellar-Hubbe M, et al. Desmoid-Type Fibromatosis[J]. Cancers(Basel), 2020, 12(7):1851. doi: 10.3390/cancers12071851.
[7]	Mitrovic Jovanovic M, Djuric-Stefanovic A, Velickovic D, et al. Aggressive fibromatosis of the right colon mimicking a gastrointestinal stromal tumour: a case report[J]. J Int Med Res, 2021, 49(3):300060521994927. doi: 10.1177/0300060521994927.
[8]	Asenov Y, Genadiev S, Timev A, et al. Ruptured desmoid tumor imitating acute appendicitis-a rare reason for an emergency surgery[J]. BMC Surg, 2019, 19(1):194. doi: 10.1186/s12893-019-0662-x. pmid: 31842856
[9]	Moore D, Burns L, Creavin B, et al. Surgical management of abdominal desmoids: a systematic review and meta-analysis[J]. Ir J Med Sci, 2023, 192(2):549-560. doi: 10.1007/s11845-022-03008-8.
[10]	Desmoid Tumor Working Group. The management of desmoid tumours: A joint global consensus-based guideline approach for adult and paediatric patients[J]. Eur J Cancer, 2020, 127:96-107. doi: 10.1016/j.ejca.2019.11.013. pmid: 32004793
[11]	Penel N, Kasper B, van Der Graaf WTA. Desmoid-type fibromatosis: toward a holistic management[J]. Curr Opin Oncol, 2021, 33(4):309-314. doi: 10.1097/CCO.0000000000000743. pmid: 33973549
[12]	Shimizu K, Hamada S, Sakai T, et al. Efficacy of low-dose chemotherapy with methotrexate and vinblastine for patients with extra-abdominal desmoid-type fibromatosis: a systematic review[J]. Jpn J Clin Oncol, 2020, 50(4):419-424. doi: 10.1093/jjco/hyz204. pmid: 31845730
[13]	袁梦婷. 侵袭性纤维瘤的靶向治疗进展[J]. 中国肿瘤临床, 2021, 48(13):695-699. doi: 10.3969/j.issn.1000-8179.2021.13.254.

[1]	陈晓娟, 张艳馨. 妊娠合并血友病A患者足月分娩一例[J]. 国际妇产科学杂志, 2025, 52(2): 158-160.
[2]	赵鑫, 陈秀雯, 王雅楠, 王长智, 张夏兰. 妊娠合并重度凝血因子Ⅺ缺乏症二例[J]. 国际妇产科学杂志, 2025, 52(2): 161-164.
[3]	陈淑婉, 邓高丕, 袁烁. 子宫伴奇异形核平滑肌瘤一例[J]. 国际妇产科学杂志, 2025, 52(2): 187-190.
[4]	尹雨鑫, 王长河. 高龄女性盆腔深部侵袭性血管黏液瘤一例[J]. 国际妇产科学杂志, 2025, 52(2): 191-194.
[5]	王佳丽, 马国霞, 魏佳, 刘思敏, 杨永秀. 生殖系统T淋巴母细胞淋巴瘤一例[J]. 国际妇产科学杂志, 2025, 52(2): 195-199.
[6]	封玲, 李金林. 无乳链球菌感染致子宫穿孔并发感染性休克一例[J]. 国际妇产科学杂志, 2025, 52(2): 234-236.
[7]	白耀俊, 王思瑶, 令菲菲, 张森淮, 李红丽, 刘畅. Trop-2及靶向Trop-2抗体偶联药物在妇科恶性肿瘤中的应用进展[J]. 国际妇产科学杂志, 2025, 52(1): 1-7.
[8]	侯春艳, 杜秀萍. 妊娠中晚期自发性子宫破裂二例[J]. 国际妇产科学杂志, 2025, 52(1): 110-113.
[9]	钟佩蕖, 招丽坚, 邹欣欣. 残角子宫妊娠行期待治疗至妊娠晚期一例[J]. 国际妇产科学杂志, 2025, 52(1): 114-116.
[10]	张云凤, 张宛玥, 卢悦, 王阳阳, 井佳雨, 牟婧祎, 王悦. ARID1A与PIK3CA突变在卵巢子宫内膜异位症恶变中的研究进展[J]. 国际妇产科学杂志, 2025, 52(1): 19-22.
[11]	李楠, 彭二玄, 刘风花. 卵巢上皮性癌脑转移20例临床分析[J]. 国际妇产科学杂志, 2025, 52(1): 23-27.
[12]	潘琪, 冯同富, 金晶, 吴莺, 杜欣. 腹腔镜切除成人腹膜后巨大成熟性畸胎瘤一例[J]. 国际妇产科学杂志, 2025, 52(1): 28-31.
[13]	贾炎峰, 吴珍珍, 王维红, 王玥元, 李娟. 原发性卵巢腺鳞癌一例[J]. 国际妇产科学杂志, 2025, 52(1): 32-36.
[14]	宋丽芳, 吴珍珍, 毛宝宏, 赵小丽, 刘青. 卵巢癌腹股沟淋巴结孤立转移一例[J]. 国际妇产科学杂志, 2025, 52(1): 37-41.
[15]	张栋, 王筝, 李凯, 卞文丽, 高志华. 非妊娠期重度自发性卵巢过度刺激综合征一例[J]. 国际妇产科学杂志, 2025, 52(1): 79-83.

误诊为卵巢肿瘤的结肠侵袭性纤维瘤病一例

A Case Report of Colon Aggressive Fibromatosis Misdiagnosed as Ovarian Tumor

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 1

参考文献 13

相关文章 15

编辑推荐

Metrics

本文评价