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增生性筋膜炎9例临床病理分析
引用本文:夏天,万慧颖. 增生性筋膜炎9例临床病理分析[J]. 实用医院临床杂志, 2010, 7(5): 63-64
作者姓名:夏天  万慧颖
作者单位:1. 解放军第452医院病理科,四川,成都,610021
2. 四川省医学科学院·四川省人民医院皮肤病性病研究所,四川,成都,610031
摘    要:目的探讨增生性筋膜炎的临床病理特征及鉴别诊断要点。方法回顾归纳分析2003~2009年9例增生性筋膜炎临床病理资料。结果增生性筋膜炎好发部位为四肢及躯干,多发于40~70岁中老年患者,生长迅速;组织病理学表现为不等量黏液基质、纤维母细胞、胶原纤维和炎细胞背景下出现具有诊断意义的神经节样大细胞;免疫组化主要表达波形蛋白(Vim)和平滑肌肌动蛋白(SMA)。结论增生性筋膜炎是一种少见的增生性病变,诊断应抓住其临床、组织学特征,掌握其鉴别诊断,防止误诊。

关 键 词:增生性筋膜炎  病理学  鉴别诊断

Clinical and pathological study on 9 cases of proliferative fasciitis
XIA Tian,WAN Hui-ying. Clinical and pathological study on 9 cases of proliferative fasciitis[J]. Practical Journal of Clinical Medicine, 2010, 7(5): 63-64
Authors:XIA Tian  WAN Hui-ying
Affiliation:1.Department of Pathology,The 452nd ALP Hospital,Chengdu 610021,China;2.Institute of Dermatology and Venereology,Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital,Chengdu 610031,China)
Abstract:Objective To explore the clinical and histological features and differential diagnosis of proliferative fasciitis.Methods Clinical data of 9 cases of proliferative fasciitis from 2003 to 2009 were analyzed retrospectively.Results Proliferative fasciitis was a fast growing tumor that occurred predominantly in extremities and trunk of middle and senile patients of 40 to 70 years.Typical ganglion-like-cells revealed under the background of mucoid stroma,fibroblast,collagen fiber and inflammatory cells.Vimentin and smooth muscle actin?were expressed.Conclusion Proliferative fasciitis is a scarce proliferative lesion.Clinical and histological features and the method of differential diagnosis should be mastered to diagnose proliferative fasciitis.
Keywords:Proliferative fasciitis  Histopathology  Differential diagnosis
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