| Dingrong Zhong,Dong Wu. Fibroblastic reticular cell sarcoma of the small intestine: a very rare case report and clinicopathological diagnosis. Oncol Transl Med, 2016, 2: 110-114. |
| 小肠纤维母细胞性网状组织细胞肉瘤—1例罕见病报道及临床-病理诊断过程 |
| Fibroblastic reticular cell sarcoma of the small intestine: a very rare case report and clinicopathological diagnosis |
| Received:January 18, 2016 Revised:June 15, 2016 |
| DOI：10.1007/s10330-016-0132-1 |
| 中文关键词: 纤维母细胞性网状组织细胞肉瘤，结核，克罗恩病，小肠镜，模式识别 |
| 英文关键词: fibroblastic histiocytic sarcoma; tuberculosis; Crohn’s disease; small bowel endoscopy; pattern recognition |
| 基金项目: |
| Author Name | Affiliation | E-mail | | Dingrong Zhong | Department of Pathology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, No. 1, Shuaifuyuan, Dongcheng District, Beijing, 100730, China | zhongdingrong@sina.com | | Dong Wu* | Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, No. 1, Shuaifuyuan, Dongcheng District, Beijing, 100730, China. | dongwu@pumc.edu.cn |
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| 中文摘要: |
| 摘要：男性，54岁，因发热、腹痛入院。经影像和内镜检查发现肺部结节和小肠多发溃疡，先后被临床诊为“结核”和“克罗恩病”。患者在小肠镜检查后出现肠穿孔，经急诊手术切除病变肠段，病理诊断为小肠纤维母细胞性网状组织细胞肉瘤。患者于术后6个月死亡。在临床病理讨论中，该例诊治过程体现了“模式识别”这一临床思维的局限性，以及设法获取组织学诊断的重要性。 |
| 英文摘要: |
| A 54-year-old man was admitted for the evaluation of fever and abodominal pain. Radiological and endoscopic examination revealed a lung nodule and multiple small intestine uclers. Clinical diagnosis such as
tuberculosis and Crohn’s disease had been proposed. He developed intestine perforation after small bowel
endoscopic procedure. During emergent surgery the involved intestinal segments were resected and a
pathological diagnosis of fibroblastic histiocytic sarcoma (FBRC) was made. The patient died in the sixth
month after the operation. The management of this cases highlighted the drawback of pattern recognition
as the most commonly used clinical reasoning method, and the importance of histological investigation. |
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