罕见巨大前列腺孤立性纤维瘤1例

患者，男，35岁。因进行性排尿困难伴便秘2年，于2003年12月6日入院。病程中无血尿、尿路刺激症状，也无发热及体重减轻等表现。体检：心、肺、肝、脾、肾无异常发现；直肠指诊：直肠前壁可触及一巨大肿块，将直肠腔压迫变小。肿块表面光滑，无压痛，手指不能触及整个肿块及其上缘。     

足趾侵袭性纤维瘤四次手术1例

1病例资料 患者女,31岁。2004年因右足第3趾出现无痛性肿块,边界不清,质硬,在当地医院行局部肿物切除术。2008年肿物复发,来我院门诊行同一足趾局部肿物切除术,于术后6个月肿瘤再次复发。2011年8月来我院门诊行第3趾末节截趾术,术后病理提示侵袭性纤维瘤（图1）,8个月后再次复发。2014年3月因右足第3趾肿物破溃伴第2趾新发肿物来我院住院治疗（图2）,术中截除第3趾残留足趾及切除第2趾局部肿物,快速冰冻病理显示两处均为侵袭性纤维瘤,遂扩大第2足趾切除范围并行植皮术,术后病理示第2,3趾侵袭性纤维瘤（图3）,切缘阴性（图4）。10年来患者未接受任何放化疗,本次入院全身检查未发现其他转移灶。     

左手多发巨大纤维瘤1例

1 病例资料 患者,女,66岁.左手掌及食指肿胀、疼痛3年余,于2005年3月28日就诊.入院时体检:T 37℃,P 70次,R 18次,BP 16/10 kPa.查体:左手掌及食指肿胀,以食指为重(见图1),肤色正常,皮温不高,左食指、中指、第2、3掌骨间掌侧可触及数枚颗粒样物,质韧,大小为0.5 cm×0.4 cm×0.4 cm～4.0 cm×3.0 cm×2.5 cm不等,边界清楚,局部压痛(-),无搏动感,可轻度移位,左食指、中指、环指、小指屈曲受限,以食、中指为重,食指、中指感觉减退.心、肺、腹未见异常.     

右侧肘关节巨大腱鞘纤维瘤1例

<正>患者,男,67岁,发现右肘部肿块18个月入院。入院查体:体温36. 8℃,脉搏74次,呼吸19次,血压19. 87/10. 78k Pa。右肘关节前侧明显肿胀,肤色正常,皮温正常,可触及大小约8 cm×4 cm肿块,见图1A;皮肤无静脉怒张,无破溃,局部无压痛,质韧、界限尚清,无波动感,未闻及血管杂音,活动度差。右肘关节活动正常。屈肘后右拇指、示指、中指感觉麻木。患肢末梢血运正常。实验室检查:斑点实验及结核杆菌抗体(-),ESR、类风湿因子、CRP正常。右肘关节正、侧位X线检查:骨质未见明显异常。     

左乳巨腺纤维瘤1例

患者　女 ,37岁。左乳无痛性肿物 5年而就诊。体查 :左乳晕下及周围可触及 10ｃｍ× 6ｃｍ× 5ｃｍ的肿块 ,质硬 ,表面光滑 ,边界清楚 ,活动度差。左腋下可触及肿大淋巴结。诊断 :乳腺纤维瘤恶变。行乳癌简化根治术。病理检查 :镜下见肿物由纤维组织和腺管 2种成分组成 ,均无异型性。病理诊断 :左乳多发巨腺纤维瘤 ,淋巴结反应性增生。患者术后已半年 ,一般状况好 ,未见肿物复发左乳巨腺纤维瘤1例@胡建功$承德医学院附属医院病理科!河北承德067000 @王军$承德医学院附属医院病理科!河北承德067000 @金小平$承德医学院附属医院病理科!…     

胸腔再发巨大孤立性纤维瘤一例

<正>孤立性纤维瘤(solitary fibrous tumor,SFT)临床上相对少见,以往认为是间皮瘤的一个类型,发病率低,好发于胸腹腔,临床表现为局部生长缓慢的无痛性肿块,随着肿瘤的增大会出现相应部位的压迫症状,如咳嗽、疼痛、呼吸困难、肺性骨关节病等[1]。目前国内外对该病种的诊治仍处于探索阶段,且报道仅限于单发病灶,双侧胸腔复发性孤立性纤维瘤的病例未见报道。我科诊治胸腔再发巨大孤立性纤维瘤1例,现报道如下。病人,男,90岁。因呼吸     

腹膜后巨大恶性孤立性纤维瘤1例报告

腹膜后的恶性孤立性纤维瘤极其罕见,2013年9月我院收治1例,现报告如下。1病例资料患者女,72岁,因“体检CT发现腹膜后肿物1周”入院,近1月来体重下降10kg,无发热、盗汗,无腰背部疼痛,无乏力。查体:上腹部触诊可及质硬肿物,边界及表面触不清,肿瘤直径约15cm,外院CT平扫示左肾上腺区见单发16cm×15cm×12cm肿瘤,CT平扫示CT值为18~50Hu,边缘光整,与胸膜及脾脏分界不清,横膈受压抬高,考虑肾上腺皮脂     

左心室流出道巨大纤维瘤切除1例

病人　男 ,41岁。活动后心慌、气短、心前区憋闷 1年、加重 3个月。既往无晕厥及栓塞史。查体 :心尖部闻及3 ＶＩ级粗糙的收缩期杂音。心脏超声显示 ,左室流出道内占位病变 ,约 3 5ｃｍ× 4 7ｃｍ ,活动度小、回声欠均匀 ,蒂宽、位于二尖瓣前叶和主动脉瓣之间 ,二尖瓣和主动脉瓣结构及功能正常 ,左室流出道明显狭窄 ,最窄处 7ｍｍ(图 1)。2 0 0 0年 2月在全麻低温体外循环下行左室流出道肿瘤切除术。正中纵劈胸骨显露心脏 ,见心脏大小正常 ,主动脉根部可触及收缩期震颤。升主动脉及腔静脉插管建立体外循环 ,置左心引流管 ,顺灌Ｓｔ.Ｔｈｏｍ…     

Surgical treatment of cardiac fibroma in a child with left ventricular noncompaction

Surgical treatment of cardiac fibroma is rare in patients with left ventricular noncompaction (LVNC). Although several case reports regarding cardiac fibroma have been published, resection in a patient with LVNC has not been described. Here, we describe the surgical treatment of left ventricular fibroma in a child with LVNC. We resected a cardiac fibroma in a 10‐year‐old boy with LVNC to control ventricular arrhythmia. Partial resection with careful tumor dissection was performed to avoid endocardial damage and entering the ventricular cavity. The postoperative course was uneventful, and the patient remains asymptomatic without heart failure or arrhythmia. Surgical excision of cardiac fibroma can be performed safely with excellent results, even in a child with LVNC.     

Giant calcifying aponeurotic fibroma of the hand: an exceptional case

We present the case of a 59-year-old man with a 6-cm diameter tumor on his left hand of 40 years duration. After radiograph and MRI studies, the tumor was excised. The pathological study revealed an aponeurotic calcifying fibroma that was confirmed after electronic microscopy. The size of this tumor was exceptional. One year postoperatively, there were no signs of local recurrence.     

Desmoplastic fibroma of the hand: case report

Desmoplastic fibroma is a benign tumor of the soft tissue and rarely of the bone. It typically presents in the trunk and proximal limbs, but it is quite rare in the hands. We present a rare case of desmoplastic fibroma of the soft tissues of the hand that presented as a slow-growing, painless, well-encapsulated mass.     

A case report on partial scapulectomy with glenoid preservation for Chondromyxoid fibroma of scapula

Chondromyxoid fibroma is a benign bone tumour accounting for less than 1% of all primary bone tumours. It usually affects the metaphyseal region of long bones in the first or second decade of life. It rarely occurs in scapula. We present a case of 29?year old female with biopsy proven Chondromyxoid fibroma of left scapula. She underwent wide marginal excision by partial scapulectomy with preservation of glenoid. Post operatively she has stable shoulder joint with normal range of movement & no recurrence on regular follow up.     

Recurrent calcifying aponeurotic fibroma of the thumb: case report

We present an unusual case report of an aggressive, recurrent calcifying aponeurotic fibroma of the thumb in an adult man with invasion into the distal and proximal phalanges, the skin, the radial and ulnar neurovascular bundles, and the tendons, treated with amputation and an immediate toe-to-thumb transfer.     

Intraarticular fibroma of tendon sheath

A 17-year-old male presented to us following a hyperflexion injury to his right knee sustained while playing soccer. Immediately after the traumatic event, he developed a large, tense knee effusion. Physical examination revealed limited range of motion. MRI revealed a lobulated mass in the posteromedial aspect of the knee joint. The mass was excised and sections submitted to pathology. A pathologic, microscopic, and immunohistochemical characteristics revealed the final diagnosis of fibroma of tendon sheath in the knee. At 12 months followup, the patient reported no subjective symptoms, such as pain or limitation of athletic activities and has full range of motion. Additionally, he has demonstrated no signs of recurrence. We report a case of fibroma of the tendon sheath originating from the synovial membrane of the joint capsule of the knee.     

Left ventricular fibroma in an aged patient: Report of a case

We report herein the case of a 77-year-old man with a left ventricular tumor originating from the papillary muscle of the left ventricular wall, in whom a successful tumor resection with mitral valve replacement was performed. The pathological diagnosis of the tumor was confirmed as cardiac fibroma. His postoperative course was uneventful and he is currently well with no signs of recurrence 2 years after surgery.