中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (8): 594-595.doi: 10.12144/zgmfskin202308594

• 病例报告 • 上一篇    下一篇

成人肌纤维瘤一例

何月希,常建民   

  1. 北京医院皮肤科,国家老年医学中心,中国医学科学院老年医学研究院,北京协和医学院,北京,100730
  • 出版日期:2023-08-15 发布日期:2023-07-19

Adult myofibroma: a case report

HE Yuexi, CHANG Jianmin   

  1. Department of Dermatology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences & Peking Union Medical college, Beijing 100730, China
  • Online:2023-08-15 Published:2023-07-19

摘要: 肌纤维瘤是单发的良性间叶源性肿瘤,好发于2岁以下婴幼儿,成人少见。本文报道1例成人肌纤维瘤,表现为无痛性质硬的结节,无破溃,病理可见肿瘤团块呈“双相模式”,中央可见大量血管腔、无定型黏液样物质及圆形细胞,周边见大量旋涡状胖梭形细胞。免疫组化SMA(+),给予手术切除。

关键词: 肌纤维瘤, 组织病理, 鉴别诊断

Abstract: Myofibroma is a single benign mesenchymal tumor, which usually occurs in infants under 2 years old and rarely in adults. We report a case of adult myofibroma. The patient presented with hard nodules without painand ulceration. Pothological examination showed that tumor masses could be seen in the dermis, which showed “biphasic pattern”. A large number of vascular cavities amorphous mucuslike substances and ronnd cells can be seen in the center, a large number of swirling fat fusiform cells can be seen around them. Immunohistochemistry showed the tumor cells were positive for SMA. The patient was treated with surgical resection.

Key words: myofibroma, histopathology, differential diagnosis