fibroma

Complete English Translation · Source 1

Chengdu Puji Ji Traditional Chinese Medicine Research Institute

Chengdu Puji TRADITIONAL CHINESE MEDICINE RESEARCH INSTITUTE OUTPATIENT DEPARTMENT

Xian Du Pu Ji

Traditional Chinese Medicine case of tumor rehabilitation

devotion to healing and treatment

licensed treatment, address both root and symptoms, live with tumor

Clinical summary:

disease type: fibroma age: 12 gender: female region: Hebei

Hebei, 12-year-old patient with fibroma, in October 2023 due to long-term pain in the buttocks and accompanied by fever and diarrhea

, visited a local hospital, diagnosed with left gluteal fibroma, and received local chemotherapy and targeted therapy with poor effect

poor, by the following year in March, the tumor size continued to increase to 8.2cm ×4.7cm×12.9cm, parents were concerned about

fear of surgical impact on body shape, visited our hospital from April.

name;

examination date:

gender:

age:

2023-10-19

report date: 2023-10-20

gender:

middle-aged

examination date:

2024-03-26

report date:

2024-03-27

report result

report result two 6)02

• examination conclusion

[unclear in source]Conclusion of examination

MR scan showed no abnormalities.

1. Mass in left gluteal region, considered soft tissue tumor. 2. Left femoral region

Afterward, the tumor size appeared slightly increased compared to before (2023.12.05).

1. In combination with the medical history, left gluteal soft tissue fibromatosis treated

2. No abnormalities are seen in the left femur and cranial imaging.

• Findings of examination October 2023 Tumor size approximately 9.8cm×6.3cm×11.6cm

• Findings on examination

in March 24, the tumor continues to grow to

8.2cm×4.7cm×12.9cm

9.8cm×6.3cm×11.6cm, T2W shows slightly hyperintense signal, T2W

soft tissue density mass, approximately

number, shows slightly hyperintense signal on T2WI, hyperintense on fat-suppressed sequence, DWI sequence

border is indistinct, approximately 8.2cm×4.7cm×12.9cm, T1WI shows isointense signal

A soft tissue signal mass is seen near the ischial tuberosity, border

slightly hyperintense signal, hyperintense on fat-suppressed sequence, no obvious abnormal signal is seen on DWI sequence

clear borders, projects inward and downward into the gap between the external and internal obturator muscles, increases

confirmed diffusion restriction, on contrast enhancement the lesion shows marked heterogeneous enhancement,

on contrast enhancement shows marked heterogeneous enhancement, with fibrous septa visible within it;

Diffusion restriction is present, the lesion projects inward and downward into the gap between the external and internal obturator muscles

shows marked heterogeneous enhancement, with fibrous septa visible within it. Adjacent bone

no bone destruction is seen adjacent to the bone. Bladder is well filled, wall is not thick. The rest of the pelvis

no bone destruction is seen adjacent to the bone. Bladder is well filled, wall is not thick. The rest of the pelvic organs

signal within the medullary cavity is uneven, no abnormal enhancement is seen. No abnormal signal is seen in the soft tissue of the left femoral region, no abnormal enhancement foci are seen on contrast enhancement.

liver, small hepatic lesion, possibly early hepatic metastasis. Pelvic cavity is enlarged with compression. Shape of the organs is unclear.

no bone destruction, no abnormal signal is seen in the soft tissue of the femoral region, no abnormal enhancement is seen on contrast enhancement.

no abnormalities are seen in the organs. No fluid is seen in the pelvis. Left femur has normal morphology, no bone

tissue shows no abnormal signal, no abnormal enhancement foci are seen on contrast enhancement. Bilateral

no abnormal signal is seen in the cerebellum; no abnormal enhancement foci are seen on contrast enhancement. Ventricles

normal position of gray and white matter in the left and right cerebral hemispheres, bilateral brain substance, brainstem, and

no abnormal enhancement foci are seen on the scan.

no obvious expansion is seen; no obvious enlargement of sulci, fissures, or cisterns of the brain

widened or deepened. No significant displacement of the midline structures is seen.

after 2 months of medication, the patient's parent reported that the patient's fever, diarrhea and other discomfort symptoms had disappeared, and continued medication was maintained

5 months later, the patient's parent reported that the tumor had shrunk, and upon September follow-up examination, the cross-sectional size of the tumor was reduced to

9.0cm×5.8cm×12cm.

Beijing Nanjiao Oncology Hospital

medical imaging diagnosis report

name[REDACTED]

gender

section

ID

number

T[ID REDACTED]

department

room

comprehensive outpatient clinic

year

age

examination date 2024-09-26

report date

2024-09-26

imaging number [ID REDACTED]

clinical information fibroma disease,

bed

examination method and site

MR

pelvic MR with contrast enhancement and DWI

imaging findings:

compared to pelvic MR on 2024-07-01:

a mixed signal mass in the muscle gap of the left gluteal region, T1WI shows isointense signal with slight hypointense areas, T2WI shows isointense to slightly

8cm×12.0cm (SE801 IM29 and SE901 IM34), originally 10.5cm ×6.1cm (SE801 IM37)

high signal,

DWI shows mixed high and low signal intensity, with heterogeneous enhancement on contrast-enhanced scanning; the largest cross-sectional area measures approximately 9.0cm X 5.

Lower diameter approximately 13.2cm (SE901 IM32),

Peri-soft tissue compression and displacement.

Dispersed around the femoral and iliac vessels on both sides and the left iliac external vessels

Small lymph nodes unchanged, largest still approximately 0.8cm X 0.6cm (SE401_IM12).

No abnormalities observed in the bladder, uterus, and bilateral adnexa. A small amount of fluid signal in the pelvis is unchanged.