先进急诊医学

乳腺型肌纤维母细胞瘤病例报道

邹 梦洁

荆门市中心医院超声科 / 荆楚理工学院附属荆门市中心医院

DOI: https://doi.org/10.59429/xjjz.v7i2.10370

Keywords: 乳腺型肌纤维母细胞瘤；外阴；超声诊断

---

Abstract

目的：探讨外阴乳腺型肌纤维母细胞瘤的超声表现及临床诊断。方法：1 例外阴乳腺型肌纤维母细胞瘤进行 病例报道，临床、超声、病理资料分析。结果：二维超声表现为外阴稍低回声团，大小约 3.1cm×2.1cm，边界清晰， 形态规则，内回声尚均匀。彩色多普勒超声表现为周边及内可见血流。频谱多普勒显示为高阻力动脉频谱。无红、肿、 热、痛。手术切除治疗，病理提示外阴乳腺型肌纤维母细胞瘤。术后随访行彩色多普勒检查，2 年内未复发。结论： 外阴乳腺型肌纤维母细胞瘤，良性肿瘤，好发于围绝经期和绝经后女性。超声特异性不高，影像学很难明确诊断。 目前细胞病理学特征仍存在争议，术前建议粗针穿刺行组织病理学检查明确诊断。

---

References

[1] Narasimhamurthy M, Savant D, Shreve L, et al. Myofibroblastoma in the Liver: A Case Report and Review of Literature[J]. Int J Surg Pathol,2023,31(8):1559-1564.

[2] Lee MY, Dalpiaz A, Schwamb R, et al. Clinical Pathology of Bar- tholin’s Glands:A Review of the Literature[J]. Curr Urol, 2015,8(1):22-25.

[3] Omole F, Simmons B J, Hacker Y. Management of Bartholin’s duct cyst and gland abscess[J]. Am Fam Physician,2003,68(1):135-140.

[4] Hajjar R, Alharthi M, Richard C, et al. Pelvic Aggressive Angiomyxoma: Major Challenges in Diagnosis and Treatment[J]. other,2019,11(4).

[5] Kumar N, Goyal A, Manchanda S, et al. Aggressive pelvic angiomyxoma and its mimics: can imaging be the guiding light?[J]. British Journal of Radiology,2020,93(1111):20200255.

[6] Xie Y, Qian Y, Zou B. A giant aggressive angiomyxoma of vulva in a young woman: A case report[J]. Medicine,2019,98(2).

[7] Baglan M G V. A case of mammary myofibroblastoma diagnosed with cytomorphological, cell block and immunohistochemistry findings[J]. Diagnostic cytopathology,2021,49(3).

[8] G Magro M, Bisceglia M, Michal. Expression of steroid hormone receptors, their regulated proteins, and bcl-2 protein in myofibroblastoma of the breast[J]. Histopathology,2000:36.

[9] Alexander M, Strait, Julia A, et al. Mammary-type Myofibroblastoma with Leiomyomatous Differentiation: A Rare Variant with Potential Pitfalls[J]. Int J Surg Pathol,2021:30.