Analysis on the differential diagnosis and imaging features of rare desmoid-type fibromatosis
WANG Minrui DENG Kexue
Inaging Department, the First Affiliated Hospital of University of Science and Technology of China Anhui Provincial Hospital, Anhui Province, Hefei 230001, China
Abstract：Objective To explore the imaging manifestation of rare desmoid-type fibromatosis (DF), in order to further improve the diagnostic accuracy of the disease. Methods The clinical and imaging findings of 8 patients with DF confirmed by surgery and pathology from July 2015 to October 2017 in the First Affiliated Hospital of University of Science and Technology of China Anhui Provincial Hospital were retrospectively analyzed. The location and boundary of the lesion were analyzed, and the chayacteristics and differential diagnosis of computed tomography (CT) and magnetic resonance （MR） imaging were analyzed. Results In the 8 patients, 5 cases were abdominal wall type, and 3 cases were intra-abdominal type. Seven cases had a history of abdominal surgery in the 8 cases. The abdominal wall showed infiltrative growth, and it was not clear with the rectus abdominals muscle. The spindle shape was the most common form, and the growth axis was parallel to the muscle fiber. The intra-abdominal type was mainly inflated growth, with varied morphology and clear boundary. CT scan: the lesions showed soft tissue density, low density area could be seen, with rare calcification and hemorrhage, boundary was less clear. MR scan: T1WI showed equal or slightly low signal, T2WI showed a slightly uneven high signal, low signal area could be seen; enhanced scanning showed progressive enhancement. Conclusion Abdominal wall type and intra-abdominal type desmoid fibromatosis have certain characteristics in clinical data, CT and MR imaging, which is of great value for the correct diagnosis of this disease.
王敏锐 邓克学. 少见型韧带样纤维瘤病的鉴别诊断及影像学表现特征分析[J]. 中国医药导报, 2018, 15(34): 135-139.
WANG Minrui DENG Kexue. Analysis on the differential diagnosis and imaging features of rare desmoid-type fibromatosis. 中国医药导报, 2018, 15(34): 135-139.
[1] Kotiligam D，Lazar AJ，Pollock RE，et al. Desmoid tumor：a disease opportune for molecular insights [J]. Histol Histopathol，2008，23（1）：117-126.
[2] Otero S，Moskovic EC，Strauss DC，et al. Desmoidstype fibromatosis [J]. Clin Radiol，2015，70（9）：1038-1045.
[3] Meyerson SL，D'Amico TA. Intrathoracic desmoid tumor：brief report and review of literature [J]. Thorac Oncol，2008， 3（6）：656-659.
[4] 李南，韦兴.从临床角度理解2013版WHO骨与软组织肿瘤新分类[J].中国骨与关节杂志，2015，4（1）：35-37.
[5] Kreuzberg B，Koudelova J，Ferda J，et al. Diagnostic problems of abdominal desmoid tumors in various locations [J]. Eur J Radiol，2007，62（2）：180-185.
[6] 刘庆余，陈建宇，梁碧玲，等.软组织韧带样型纤维瘤病的影像表现及其病理特征[J].癌症，2008，27（12）：1287-1292.
[7] Zhu H，Chen H，Zhang S，et al. Intra-abdominal fibromatosis：Differentiation from gastrointestinal stromal tumour based on biphasic contrast-enhanced CT findings [J]. ClinRadiol，2013，68：1133-1139.
[8] Fletcher CD. The evolving classification of soft tissue tumours - an update based on the new 2013 WHO classification [J]. Histopathology，2014，64（1）：2-11.
[9] Tsukamoto Y，Imakita M，Nishitani A，et al. Pancreatic desmoids-type fibromatosis with beta-catenin gene mutation-report of a case and review of the literature [J]. Pathol Res Pract，2016，212（5）：484-489.
[10] Monaco F，Monaco M，Barone M. Aggressive and recurrent desmoid-type fibromatosis of the neck [J]. Asian cardiovasc Thorac Ann，2015，23（8）：1002.
[11] Goldblum JR，Fletcher JA. Desmoid-type fibromatoses. In：WHO Classification of Tumours of Soft Tissue and Bone [M]. Lyon：IARC Press，2013：72-73.
[12] Li DG，Ferraro MJ，Calabrini M，et al. Desmoid-Type Fibromatosis of the Mesentery：Report of a Sporadic Case with Emphasis on Dif- ferential Diagnostic Problems [J]. Case Rep Med，2014，2014：851180.
[13] 宋殿行，岳振营，郭鹏，等.腹内型韧带样型纤维瘤病的CT表现（附4例报告并文献复习）[J].临床放射学杂志，2017，36（6）：898-901.
[14] 张洁，贺文，马大庆，等.多层螺旋CT诊断肠系膜侵袭性纤维瘤病[J].中国医学影像技术，2012，26（9）：1715-1717.
[15] Destri GL，Ferraro MJ，Calabrini M，et al. Desmoid-Type Fibromatosis of the Mesentery：Report of a Sporadic Case with Emphasis on Differential Diagnostic Problems [J]. Case Rep Med，2014，45（2）：120-123.
[16] Grouwels P，Verswijvel G，Vandevenne J，et al. Abdominal wall desmoid tumor [J]. JBR-BTR，2007，90（3）：190-191.
[17] Fisher C，Thway K. Aggressive fibromatosis [J]. Pathology，2014，46（2）：135-140.
[18] 杨维良，张好刚，张东伟.86例腹壁硬纤维瘤的临床分析[J].中华普通外科杂志，2007，22（10）：736-738.
[19] 杨吉龙，王坚，周晓燕，等.韧带样型纤维瘤病的临床病理学及遗传学研究[J].中华病理学杂志，2006，35（3）：145-150.
[20] Gronchi A，Casali PG，Mariani L，et al. Quality of surgery and outcome in extra-abdominal aggressive fibromatosis：A series of patients surgically treated at a single institution [J]. J Clin Oncol，2003，21（7）：1390-1397.
[21] Zippel DB，Temple WJ. When is a neoplasm not a neoplasm? When it is a desmoid [J]. J Surg Oncol，2007，95（3）：190-191.
[22] 黄恺，王春萌，师英强，等.151例韧带样瘤的疗效及预后分析[J].中国癌症杂志，2011，21（1）：61-66.
[23] Castellazzi G，Vanel D，Le Casne A，et al. Can the MRI signal of aggressive fibromatosis be used to predict its behavior？[J]. Eur J Radiol，2009，69（2）：222-229.
[24] 汤晓强，马翼，赵家璧，等.韧带样型纤维瘤病的影像学表现[J].实用临床医药杂志，2017，21（19）：44-47.
[25] Braschi-Amirfarzan M，Keraliya AR，Krajewski KM，et al. Role of imaging in management of desmoid-type fibromatosis：a primer for radiologists [J]. Radiographics，2016，36（3）：767-782.
[26] 毛新峰，沈健，黄小燕，等.腹腔内韧带样型纤维瘤病的CT表现与病理特点[J].医学影像学杂志，2013，23（2）：213-216.
[27] Baheti AD，O Malley RB，Kim S，et al. Soft-Tissue Sarcomas：An Update for Radiologists Based on the Revised 2013 World Health Organization Classification [J]. AJR Am J Roentgenol，2016，206（5）：924-932.
[28] Agarwal VK，Plotkin BE，Dumani D，et al. Solitary fibrous tumor of pleura：a case report and review of clinical，radiographic and histologic findings [J]. J Radiol Case Rep，2009，3（5）：16-20.
[29] 张伟，王兰荣，薛鹏，等.胸膜孤立性纤维瘤MSCT表现[J].中国医学影像技术，2016，32（3）：372-375.
2018, Vol. 15 
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