高强度聚焦超声治疗腹壁韧带样纤维瘤1例报告及文献复习

发布时间：2018-03-14 06:32

本文选题：腹壁　切入点：韧带样纤维瘤　出处：《浙江大学》2014年硕士论文　论文类型：学位论文

【摘要】：本文报道高强度聚焦超声治疗腹壁韧带样纤维瘤1例,介绍该病的临床症状、影像学表现及病理形态等特征,分析高强度聚焦超声治疗的方法及该病在治疗过程中的影像学改变和疗效。并结合文献复习,探讨韧带样纤维瘤的流行病学与病因、病理特征和影像诊断及治疗等问题。患者为36岁女性,2年前发现腹壁有一肿块,大小约5cm,于2012-05-22全麻下行腹壁肿块切除术,病理提示“腹壁韧带样纤维瘤”。术后3月复查B超,半年复查CT,于2012-12-07复查CT提示腹壁纤维瘤术后复发,2013-08-22查CT提示肿块明显增大,遂于2013-09-09来我院,于2013-09-13、2013-10-21、2013-12-30、2014-03-03行高强度聚焦超声治疗,MRI提示肿块大小由149×9.3×7.3cm缩小至104×7.5×63cm,并有继续缩小的趋势。
[Abstract]:This paper reports a case of abdominal wall desmoid fibroma treated with high intensity focused ultrasound (HIFU). The clinical symptoms, imaging manifestations and pathological features of the disease are introduced. To analyze the therapeutic methods of high intensity focused ultrasound (HIFU), the imaging changes and therapeutic effects of the disease during the course of treatment, and to discuss the epidemiology and etiology of desmoid fibroma in combination with literature review. Pathological features and imaging diagnosis and treatment. The patient was 36 years old female, found a mass in the abdominal wall 2 years ago, about 5 cm in size. The abdominal wall mass was resected under general anesthesia from 2012-05-22. The pathology indicated that "abdominal wall desmoid fibroma". After half a year CTexamination, CT examination in 2012-12-07 showed the recurrence of abdominal fibroma was obviously enlarged in 2013-08-22. The tumor size was reduced from 149 脳 9.3 脳 7.3 cm to 104 脳 7.5 脳 63 cm by high-intensity focused ultrasound in 2013-09-13, 2013-10-21, 2013-12-30 and 2014-03-03 in 2013-09-13, and the size of mass was reduced from 149 脳 9.3 脳 7.3cm to 104 脳 7.5 脳 63cm.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R737.33

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