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題名 | Dermal Nerve Sheath Myxoma--A Rare Case Report=真皮神經鞘黏液腫瘤--罕見病例報告 |
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作者 | 吳建儒; 王啟宇; 賴美儒; 陳錫根; 曾元生; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷期 | 25:1 2016.03[民105.03] |
頁次 | 頁37-42 |
分類號 | 416.615 |
關鍵詞 | 真皮神經鞘黏液腫瘤; 手指; Finger; Dermal nerve sheath myxoma; MRI; |
語文 | 英文(English) |
中文摘要 | 背景:真皮神經鞘黏液腫瘤,是一罕見良性腫瘤。主要發生在肢體,生長緩慢,大多數沒有症狀。治療方法為手術切除。目的及目標:我們治療的策略是切除腫瘤,保留手指的外觀及功能,並且緩解病人的症狀。材料及方法:我們報告一個五十九歲女性的病例,在她左手中指指腹的一個腫瘤。造成指腹的壓痛,同時影響她的日常生活。經手術切除後,病理檢查及免疫染色證實為一真皮神經鞘黏液腫瘤。此診斷與當初磁核造影之臆斷有所不同。結果:腫瘤於手術切除後,四個月後追蹤沒有復發。病患的症狀緩解。結論:手部腫瘤的切除必須考量到手部的精細功能。精確診斷腫瘤對於後續治療方針相當重要。 |
英文摘要 | Background: Dermal nerve sheath myxomas are rare benign tumors. They predominantly affect the extremities, grow slowly, and are usually asymptomatic. The treatment of dermal nerve sheath myxoma is by surgical resection. Aim and Objectives: The main treatment strategy is to preserve the functionality and aesthetic appearance of the finger and to relieve the symptoms. Materials and Methods: We present a 59-year-old woman with this rare tumor, which formed on the pulp of her left middle finger. She showed tenderness in her fingers, which affected her daily activities slightly. The diagnosis of dermal nerve sheath myxoma is confirmed by histopathological analysis and immunohistochemical staining after excision. Results: After complete resection, there is no recurrence. The symptoms are relieved and the function of the finger pulp is preserved. Conclusion: Treatment of tumors in the hand requires special consideration owing to the important functions of the hand. A precise diagnosis should be made to ensure that the surgeon can help the patient preserve the function of the hand. |
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