Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings
Yıl: 2019 Cilt: 20 Sayı: 4 Sayfa Aralığı: 365 - 367 Metin Dili: İngilizce DOI: 10.4274/imj.galenos.2019.33239 İndeks Tarihi: 17-04-2020
Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings
Öz: Fibromatosis represents a group of fibroblastic proliferationsthat vary from benign to intermediate in biological behavior. Itcan be classified as superficial or deep. Aggressive fibromatosis(AF) does not cause distant metastasis, the potential for localinvasion and recurrence is very high. AF can be seen in varioussites, including extra-abdominal, abdominal wall and intraabdominallocations. It is rare in the extra-abdominal areaand may involve the muscles of the shoulder, pelvis andthigh. AF of the chest wall is rare, representing only 8-10%of all deep fibromatoses. Cross-sectional imaging modalities,especially magnetic resonance imaging (MRI), can be used todetect, characterize and show the extension of these tumorsinto adjacent tissues. MRI is superior to CT in the radiologicalevaluation of soft tissues. The signal intensity of AF variesdepending on the collagen and water content of the cell. Aradical surgical resection strategy with a safe margin (2-3 cm)remains the standard therapeutic approach for AF. However,radiotherapy is a significant treatment challenge, especially foryoung women. Herein, we present a 25-year-old female patientwith recurrent chest wall AF extending to the breast, along withclinical findings, MR images, and histopathological findings.
Anahtar Kelime: Konular:
Göğüs Duvarı Agresif Fibromatozisi: Manyetik Rezonans Görüntüleme ve Histopatolojik Bulguları ile Birlikte Olgu Sunumu
Öz: Fibromatozis biyolojik davranışı benign ve intermediate arasında değişen bir grup fibroblastik proliferasyonu temsil eder. Yüzeyel ve derin olarak sınıflandırılabilir. Agresif fibromatozis (AF) uzak metastaz yapmaz ancak lokal invazyon ve rekürrens potansiyeli çok yüksektir. AF, ekstraabdominal, intrabdominal ve karın duvarında olmak üzere çeşitli yerlerde görülebilir. Ekstraabdominal alanda nadir olup omuz, pelvis ve uyluk kaslarında görülebilir. Göğüs duvarının AF’si nadir olup tüm derin fibromatozların yalnızca %8-10’unu temsil eder. Kesitsel görüntüleme yöntemleri, özellikle manyetik rezonans görüntüleme (MRG), bu tümörleri saptamak, karakterize etmek ve komşu yumuşak dokulara yayılımını göstermek amacıyla kullanılabilir. MRG, yumuşak dokuların radyolojik değerlendirmesinde bilgisayarlı tomografiye (BT) oldukça üstündür. AF’nin sinyal intensitesi hücrenin kollajen ve su içeriğine bağlı olarak değişkenlik göstermektedir. AF’nin standart tedavisi güvenli marjlı (2-3 cm) radikal cerrahi rezeksiyondur. Bununla birlikte, radyoterapi, özellikle genç kadınlar için önemli tedavi yöntemlerindendir. Biz burada meme dokusuna uzanımlı rekürren göğüs duvarı AF’si olan 25 yaşında bayan hastayı klinik bulguları, MRG görüntüleri ve histopatalojik bulguları ile birlikte sunmayı amaçladık.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
- 1. Shen C, Zhou Y, Che G. Management of a female with recurrence of fibromatosis of the chest wall adjacent to the breast: a case report. J Cardiothorac Surg 2013; 8: 41.
- 2. Akhavan A, Binesh F, Kargar K, Navabii H. Juvenile female with chest wall fibromatosis located posteriorly to the right breast: radiation therapy or wait and watch? BMJ Case Rep 2013: 2013.
- 3. Walker EA, Petscavage JM, Brian PL, Logie CI, Montini KM, Murphey MD. Imaging features of superficial and deep fibromatoses in the adult population. Sarcoma 2012; 2012: 215810.
- 4. Foà R, Rizzo S, Petrella F, De Maria F, Bellomi M. Recurrent aggressive fibromatosis of the chest wall. Ecancermedicalscience 2014; 8: 464.
- 5. Shinagare AB, Ramaiya NH, Jagannathan JP, Krajewski KM, Giardino AA, Butrynski JE, et al. A to Z of desmoid tumors. AJR Am J Roentgenol 2011; 97: 1008-14.
- 6. Shields CJ, Winter DC, Kirwan WO, Redmond HP. Desmoid tumours. Eur J Surg Oncol 2001; 27: 701-6.
- 7. Tateishi U, Gladish GW, Kusumoto M, Hasegawa T, Yokoyama R, Tsuchiya R, et al. Chest wall tumors: radiologic findings and pathologic correlation: part 2. Malignant tumors. Radiographics 2003; 23: 1491-508.
- 8. Souza FF, Fennessy FM, Yang Q, van den Abbeele AD. Case report. PET/CT appearance of desmoid tumour of the chest wall. Br J Radiol 2010; 83: 39-42.
- 9. Shen C, Zhou Y, Che G. Management of a female with recurrence of fibromatosis of the chest wall adjacent to the breast: a case report. J Cardiothorac Surg 2013; 8: 41.
- 10. Lee JC, Thomas JM, Phillips S, Fisher C, Moskovic E. Aggressive fibromatosis: MRI features with pathologic correlation. AJR Am J Roentgenol 2006; 186: 247-54.
| APA | TANRIVERMIS SAYIT A, ELMALI M, Karagöz F, bayrak I (2019). Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings. , 365 - 367. 10.4274/imj.galenos.2019.33239 |
| Chicago | TANRIVERMIS SAYIT ASLI,ELMALI Muzaffer,Karagöz Filiz,bayrak Ilkay Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings. (2019): 365 - 367. 10.4274/imj.galenos.2019.33239 |
| MLA | TANRIVERMIS SAYIT ASLI,ELMALI Muzaffer,Karagöz Filiz,bayrak Ilkay Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings. , 2019, ss.365 - 367. 10.4274/imj.galenos.2019.33239 |
| AMA | TANRIVERMIS SAYIT A,ELMALI M,Karagöz F,bayrak I Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings. . 2019; 365 - 367. 10.4274/imj.galenos.2019.33239 |
| Vancouver | TANRIVERMIS SAYIT A,ELMALI M,Karagöz F,bayrak I Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings. . 2019; 365 - 367. 10.4274/imj.galenos.2019.33239 |
| IEEE | TANRIVERMIS SAYIT A,ELMALI M,Karagöz F,bayrak I "Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings." , ss.365 - 367, 2019. 10.4274/imj.galenos.2019.33239 |
| ISNAD | TANRIVERMIS SAYIT, ASLI vd. "Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings". (2019), 365-367. https://doi.org/10.4274/imj.galenos.2019.33239 |
| APA | TANRIVERMIS SAYIT A, ELMALI M, Karagöz F, bayrak I (2019). Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings. İstanbul Medical Journal, 20(4), 365 - 367. 10.4274/imj.galenos.2019.33239 |
| Chicago | TANRIVERMIS SAYIT ASLI,ELMALI Muzaffer,Karagöz Filiz,bayrak Ilkay Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings. İstanbul Medical Journal 20, no.4 (2019): 365 - 367. 10.4274/imj.galenos.2019.33239 |
| MLA | TANRIVERMIS SAYIT ASLI,ELMALI Muzaffer,Karagöz Filiz,bayrak Ilkay Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings. İstanbul Medical Journal, vol.20, no.4, 2019, ss.365 - 367. 10.4274/imj.galenos.2019.33239 |
| AMA | TANRIVERMIS SAYIT A,ELMALI M,Karagöz F,bayrak I Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings. İstanbul Medical Journal. 2019; 20(4): 365 - 367. 10.4274/imj.galenos.2019.33239 |
| Vancouver | TANRIVERMIS SAYIT A,ELMALI M,Karagöz F,bayrak I Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings. İstanbul Medical Journal. 2019; 20(4): 365 - 367. 10.4274/imj.galenos.2019.33239 |
| IEEE | TANRIVERMIS SAYIT A,ELMALI M,Karagöz F,bayrak I "Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings." İstanbul Medical Journal, 20, ss.365 - 367, 2019. 10.4274/imj.galenos.2019.33239 |
| ISNAD | TANRIVERMIS SAYIT, ASLI vd. "Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings". İstanbul Medical Journal 20/4 (2019), 365-367. https://doi.org/10.4274/imj.galenos.2019.33239 |
