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題 名 | 結節性肌膜炎:78例之臨床病理分析=Nodular Fasciitis: A Clinicopathologic Analysis of 78 Cases |
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作 者 | 紀景琪; 王淑惠; 王俊民; 郭承統; 洪宏翔; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 21:1 2003.03[民92.03] |
頁 次 | 頁8-15 |
分類號 | 415.762 |
關鍵詞 | 結節性肌膜炎; Nodular fasciitis; Myofibroblast; Preoperative diagnosis; Taiwan; |
語 文 | 中文(Chinese) |
中文摘要 | 已經有許多英語文獻描述結節性肌膜炎(nodular fasciitis)的臨床與病理特徵,但迄今台灣仍然未有類似研究。此外,以前亦未曾有不臨床診斷正確性之分析研究。我們收集了78例記載詳實的結節性肌膜炎病例並實行回顧性分析。男女病患比例為1比1.6(30:48)。最好發年齡層為31至40歲。平均年齡為35歲。最好發位置為前臂(35.9%),上臂(17.9%)及大腿(14.1%)。大多數病灶的直徑介於1至2Cm。共有22例(28.2%)記載為有疼痛或壓痛感。接受切除手術後均無復發情形。黏液瘤型、中間弄與纖維型分別佔有32.1%(25)、35.8%(28)及32.1%(25)。最常見的術前診斷是血管脂肪瘤(angiolipoma)(19.2%),其次為脂肪瘤(lipoma) (16.7%)。共有11例(14.1%)術前正確診斷為結節性肌膜炎,皆為1995年之後所診斷。近年來已經有更多病例在術前被正確診斷為結簭性肌膜炎,因為我們現在已更日熟悉結節性肌膜炎的臨床特。臨床醫師務必將結節性肌膜炎列入快速增長的皮膚腫瘤之鑑別診斷中。 |
英文摘要 | Although the clinical and pathological features of nodular fasciitis have been well recognized and documented in the English literature, there is no similar study in Taiwan. Besides, there is no study of the accuracy of preoperative diagnosis. We conducted a retrospective clinicopathologic study of 78 well-documented cases of nodular fasciitis. The male-to-female ratio was 1: 1.6(30:48). The peak age of patients was the 4th decade. The mean age was 35 years. The sites of predilection were the forearm (35.9%), arm (17.9%), and thigh (14.1%). Most lesions were in the size of one to two cen- timeters in diameter. Twenty-two cases (28.2%) in our series were recorded as painful or tender. No recurrence was noted after surgical excision. Myxomatous, intermediate, and fibrous type separately occupied 32.1%(25), 35.8%(28), and 32.1%(25). The most frequent preoperative diagnosis was angiolipoma (19.2%), followed by lipoma (16.7%). Eleven cases were correctly diagnosed as nodular fasciitis preoperatively (14.1%); all of which was diagnosed after the year of 1995. More cases were correctly diagnosed preoperatively in recent years because we are more familiar with the clinical fea- tures of nodular fasciitis now. Clinicians should always include nodular fasciitis among the differential diagnoses of rapidly growing skin tumors. |
本系統中英文摘要資訊取自各篇刊載內容。