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題名 | 結節性筋膜炎被誤診為梭狀細胞肉瘤--病例報告=Misdiagnosis of Nodular Fasciitis as Spindle Cell Sarcoma--A Case Report |
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作者姓名(中文) | 柯惠馨; 王逸平; 郭生興; 李正喆; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷期 | 22:2 2011.06[民100.06] |
頁次 | 頁83-92 |
分類號 | 416.954 |
關鍵詞 | 結節性筋膜炎; 梭狀細胞; 肉瘤; Nodular fasciitis; Spindle cell; Sarcoma; |
語文 | 中文(Chinese) |
中文摘要 | 結節性筋膜炎是一種良性,增生性的梭狀細胞疾病,通常位於皮下或肌肉筋膜上。臨床上,它大部份以有著良好邊界的軟組織腫塊來表現,並且會和周邊的組織有附著的現象。由於它具有快速生長的特性,顯微鏡下的表現爲豐富的細胞結構以及高度的有絲分裂活性。結節性筋膜炎在臨床或是病理上容易出現誤診爲梭狀細胞肉瘤,因此正確的診斷經常需要仰賴組織病理的觀察。本文提出一例發生在頰黏膜區域腫瘤,它院切片組織病理診斷爲肉瘤,但經本院病理切片覆核及手術完整切除後,最後確診爲結節性筋膜炎的病例,並進一步討論二者的鑑別診斷。 |
英文摘要 | Nodular fasciitis is a benign, reactive, proliferative spindle-cell lesion, usually located at the subcutaneous tissues or muscle fascia. Clinically, it manifests as a soft-tissue mass with well-dened margins and xed to the adjacent structures. Because of its rapid growth rate, rich spindle cell cellularity and relatively high mitotic activity, nodular fasciitis is sometimes misdiagnosed as a spindle cell sarcoma. Accurate diagnosis is based only on histopathological examination. A rare case of nodular fasciitis of the buccal mucosa which was misdiagnosed as spindle cell sarcoma in a 58-year-old male patient is presented with further discussion of differential diagnosis of both tumors. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。