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At least 991 records · Page 55Linked to original sources

Left ventricular fibroma: echocardiographic diagnosis and successful surgical excision in three cases.

The management of three patients with left ventricular fibromas is outlined. All were asymptomatic children. Routine chest radiography suggested cardiac masses. M-mode and two-dimensional echocardiography were valuable adjuncts to conventional angiography in assessing these children. Electrocardiographic changes, present in all cases, were shown to regress postoperatively. We stress the importance of these noninvasive aids in the initial investigation and outline our operative methods of reconstruction.

Child↗

[Pleural fibroma: apropos of a case].

The authors report a case of a pleural fibroma occurring in a 72 year old woman. The tumour presented with both an osteoarthropathy and hypoglycaemia. An X-ray revealed an abundant associated pleural effusion. Immune studies were positive for the presence of vimentin and negative for keratin, as occurred in this case, were in favour of a pure fibroblastic origin for these tumours.

Aged↗

[Surgical treatment of right ventricular fibroma in infants. Report of 2 cases].

Two patients under 8 months of age, with right ventricular fibroma, presented with clinical manifestations of pulmonary stenosis. The diagnosis was established in one by echocardiography and in the other by echocardiography. CT scan and angiocardiographic study. The patients were operated and the tumors were successfully resected.

Angiocardiography↗

[Extra-abdominal desmoid fibroma and pulmonary metastases. (New Caledonia)].

A 22 years old Melanesian patient had a tumor in the anterior and external side of the left leg. Three times, this tumor had a surgical treatment, by resection, then an amputation of the leg. Always, its histological aspect was agreeing with a desmoid fibroma. After an evolution of 23 months time, metastases appeared in the lungs. Most of the authors don't agree the existence of metastases in these tumors. Four observations were reported in the literature, including one in 1989. They emphasize the difficulties of the histological diagnosis of these tumors. The metastases seems to be an argument in the evolution, which incites to modify the initial diagnosis as a fibrosarcoma in spite of the lack of obvious histological malignancy.

Adult↗

[Juvenile aponeurotic fibroma (Keasbey tumor) with metastatic course. Apropos of a case].

Juvenile aponeurotic fibroma, isolated in 1953 by Louisa Keasbey is a rare tumour which is characterized by its recurrence and infiltration, but which has no tendency to metastasis. The case we report differs in its long-term outcome. The tumour diagnosed in a seven-year-old child has recurred locally for seven years, necessitated hand amputation, and finally developed a fibroblastic process extending to lung and pleura which caused the child's death. This new finding in Keasbey's disease led us to reconsider the nosological situation in juvenile fibromatoses and its reputation for benignity.

Child, Preschool↗

Cellular fibroma masquerading as ovarian carcinoma.

The presence of a benign pelvic mass, ascites, and an elevated CA 125 tumor marker level may mimic the presentation of ovarian adenocarcinoma. Two cases of ovarian cellular fibromas are reported to illustrate that the presence of ascites in association with an elevated CA 125 serum level may mislead physicians into a diagnosis of ovarian carcinoma. Although CA 125 is helpful for following patients after ovarian carcinoma has been diagnosed histologically, it has limited value as a screening test. Exploratory laparotomy with excision of the pelvic mass remains the only reliable and acceptable method available to achieve an accurate diagnosis.

Adenocarcinoma↗

[Contribution of radiology to the diagnosis and treatment of nasopharyngeal fibroma. Apropos of 6 cases].

The authors report about their experience with 6 cases of nasopharyngeal fibroma. They emphasize the interest of CT examinations in the diagnostic study, and above all in the assessment of regional extension. The angiographic study must be as complete as possible, and should include an embolization within 2 to 5 days prior to surgical excision as often as this is possible. Embolization is a simple procedure if performed strictly and carefully in order to avoid any complication.

Adolescent↗

[Desmoplastic fibroma. Differential diagnosis of a periapical lesion from endodontic failure].

Treatment of endodontically involved teeth requires accurate diagnosis of the clinical pulpal condition to determine the primary cause of pathosis. The case presented shows the differential diagnosis between a desmoplastic fibroma and a failure of a misdiagnosed endodontic treatment. The initial direction of treatment should had never been the endodontic therapy but local surgical curettage of the lesion.

Adult↗

[Desmoid fibroma of soft tissues of extra-abdominal sites: review of the literature apropos of a case located at the posterior face of the thigh].

The authors report a case of desmoid fibroma on the posterior surface of the thigh in a woman during the post-partum period. This is a rare site for this tumour. CT scan combined with MRI appears to be useful for diagnosis. Treatment is strictly surgical, but depends on the histological benign nature and the local malignancy. Surgery is generally conservative with risks of recurrence and occasionally amputation is necessary.

Adult↗

Desmoplastic fibroma arising in fibrous dysplasia. Chromosomal analysis and review of the literature.

A desmoplastic fibroma of bone arose in the fibula of a 17-year-old boy with fibrous dysplasia. This may be the second case of this rare histopathologic association reported in the literature. Benign bone tumors have not previously been subjected to cytogenetic analysis. Analysis of this case revealed a primary abnormal clone trisomic for both chromosomes 3 and 5 and two subclones, one trisomic for chromosome 3 and one trisomic for chromosome 5. This case may also present the first description of nonrandom karyotypic abnormalities in a benign neoplasm of bone.

Adolescent↗

[Ossifying fibroma: report of two cases].

Because information on this condition is scarce, there is still some controversy as to its diagnosis and treatment as a specific entity, separate from the rest of the so-called fibro-osseous lesions of the maxillae. This paper submit two cases histories of ossifying fibroma and a review of the literature.

Adult↗

Ameloblastic fibroma: report of case.

A case of ameloblastic fibroma of the mandible in a 7-year-old girl is presented. The case is of interest because of the unusually large size of the lesion. The lesion was treated with conservative surgical enucleation. There has been no evidence of recurrence of the lesion during the 14-mongh postoperative period. The views expressed herein are those of the authors and do not necessarily reflect the view of the United States Air Force or the Department of Defense.

Ameloblastoma↗

[Desmoid fibroma of the mandible. One case (author's transl)].

The authors report a case of desmoid fibroma of the mandible in a 75-years-old woman. This benign bone tumour, described for the first time by Jaffe in 1958, would seem to be rare in this site. Sixteen other cases have been found in the literature. The diagnosis is based upon histological examination of the operative specimen.

Aged↗

Pleomorphic fibroma of the skin: a benign neoplasm with cytologic atypia. A clinicopathologic study of eight cases.

A clinicopathologic study of eight examples of polypoid and dome-shaped cutaneous fibrous lesions with sparse cellularity but striking nuclear atypia and rare mitotic figures is presented. Positive immunohistochemical staining for vimentin and actin supported the fibroblastic nature of these lesions. All eight cases were adults whose ages ranged from 33 to 67 years (mean 52 years). Five were women and three were men. Five lesions were located on extremities, two on the trunk, and one on the face and they measured from 4 to 16 mm in greatest dimension. The lesions were clinically followed from 4 months to 5 years. They all showed benign clinical behavior, with only one local recurrence in a lesion that had been incompletely removed. The nuclear atypia seen in these fibrous lesions may be similar to that which occurs in other benign mesenchymal neoplasms, such as pleomorphic lipoma, pleomorphic leiomyoma, ancient schwannoma, and variants of dermatofibroma with atypical cells. We suggest that "pleomorphic fibroma" is an appropriate term for this lesion based on its histologic differentiation, cytologic atypia, and benign clinical course.

Adult↗