结节性筋膜炎？讨论病例【91360.软组织148】

刘伟

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请各位老师帮忙看一个病例，患者女78岁，无意中发现舌下无痛性肿物5天，破溃后肿物变小有透明粘液流出。
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本次为活检，大体所见，灰白组织3块，大小0.9×0.5×0.3cm

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送检三块组织只有一块是病变组织，其他两块为舌下腺

手术所见肿物与舌下腺粘连，血运丰富

一公里生命
结节性筋膜炎

一公里生命

一公里生命
Abstract
Nodular fasciitis (NF) is defined as a benign and reactive fibroblastic growth extending from the superficial fascia into subcutaneous tissue or muscle. NF shows rapid growth, and pathological diagnosis can be difficult, so this entity is sometimes misdiagnosed as malignant tumor. NF can arise anywhere in the body, but occurrence in the oral region is rare and only four cases of NF involving the tongue have been reported previously. We describe herein a new case of NF in the tongue. The patient was a 37-year-old man who presented with a painless mass in the tongue that had grown rapidly over 7 days. After radiographic examination and biopsy, the mass was excised. Immunohistochemically, the specimen showed positive results for desmin and alpha smooth muscle actin, dispersive positive staining for CD-34, and weak positive results for CD-68. No signs of recurrence have been seen during the 24 months of follow-up.

注：病例来自网络，版权归原作者仅供学习。