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Fibroma of tendon sheath

骨科

关键词骨科 疾病 临床疾病

词汇介绍

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解析

Fibroma      /faɪ'brəʊmə/ 

          n. [肿瘤] 纤维瘤

同根词      adj.fibrous 纤维的,纤维性的;纤维状的fibrinous 纤维蛋白的fibrocartilaginous 纤维软骨的

n.fibrosis [] 纤维化,[病理] 纤维变性fibrinogen [生化] 纤维蛋白原;纤朊原fibrinolysis [生化] 纤维蛋白溶解 

          Objective of the study is to investigate the clinicopathologic features,immunological phenotype and differential diagnosis of fibroma of tendon sheath (FTS).

本研究的目的是探讨腱鞘纤维瘤(FTS)临床病理学特征、免疫表型及鉴别诊断要点。

概述

一、疾病概述或定义 腱鞘纤维瘤(fibroma of tendon sheath,FTS)是一种较少见的致密性纤维性结节,绝大多数起源于四肢的肌腱或腱鞘组织,其典型的形态学表现为由少量形态温和的梭形细胞及致密的胶原纤维性间质组成,包含数量不等呈裂隙状的血管腔隙。本病最早由Copeland于1936年提出,直到1979由Chung等报道138例后本病才重新获得认识。迄今国内仅有8例个案的文献记载,首例于2002年报道。 二、致病因素或病理机制 病理上FTS在部分病变局

Fibroma of tendon sheath around large joints: clinical characteristics and literature review复制标题

大关节周围腱鞘纤维瘤的临床特点及文献复习

发表时间:2017-08-30

影响因子:2.0

作者: Suzuki K

期刊:BMC Musculoskelet Disord

Fibroma of tendon sheath (FTS) is more common in males than females, with a ratio of 3 to 1, and it occurs in patients aged between the 2nd and 5th decades. It is reported to present with a small, painless, slowly growing mass. It occurs mainly around small joints, involving the tendons and tendon sheaths of the finger (47.9%), hands (24.8%), and wrist (10.3%). FTS occurring around large joints, such as the elbows, shoulders, hips, knees, and ankles, is rarely reported 2.8–4.2%. However, in these reports, cases in which the joints involved were not clear were included. To the best of our knowledge, FTSs clearly arising “intra-articular” within a large joint have been reported in only 18 cases, while there have been 3 cases of “extra-articular” FTS around large joints. In 19 cases, there was no description of whether the mass was intra or extra-articular. An additional 3 cases of FTS, one that was extra-articular around the elbow joint, one that was extra-articular around the knee joint, and one that was intra-articular within the knee, are reported. Furthermore, the literature was reviewed, focusing on the clinical characteristics and the imaging and histopathology findings of FTSs arising around large joints.

译文

肌腱鞘纤维瘤(FTS)在男性中比女性更常见,比例为3:1,发生在年龄介于2-5岁之间的患者中。据报道,它有一个小,无痛,缓慢增长的肿块。主要发生在小关节周围,包括手指的肌腱和肌腱鞘(47.9%)、手(24.8%)和手腕(10.3%)。发生在大关节周围的FTS,如肘部、肩膀、臀部、膝盖和脚踝,很少报告为2.8-4.2%。然而,在这些报告中,涉及的关节不清楚的情况被包括在内。据我们所知,仅18例报告了大关节内明显出现的“关节内”FTS,而大关节周围有3例“关节外”FTS。在19例患者中,没有描述肿块是关节内还是关节外。另外3例FTS,一例是肘关节周围的关节外关节,一例是膝关节周围的关节外关节,另一例是膝关节内的关节内关节。此外,本文还对文献进行了综述,重点介绍了大关节周围FTS的临床特点、影像学和组织病理学表现。