Specchiulli F, Florio U, Mori F
Ital J Orthop Traumatol. 1976 Aug;2(2):290-7.
The authors present a case of intraosseus lipoma seen at the Orthopaedic Clinic of the University of Bari, bringing the total in the world literature to thirty cases. The tumour is a benign primary neoplasm of bone, made up of mature adipose tissue containing atrophic bone trabeculae. This affection is a definite entity quite distinct from parosteal lipomas arising in periosteum, fasciae and muscles which only affect the bone secondarily by compression or direct invasion. Emphasizing the extreme rarity of the tumour, the authors discuss its clinical, radiological, anatomical and pathological features. The differential diagnosis is with certain dysplasic and neoplastic lesions of bone such as: bone cyst, non-ossifying fibroma, aneurismal cyst, monostotic fibrous dysplasia, and solitary myeloma. Complete removal is followed by cure.
作者介绍了一例在巴里大学骨科诊所发现的骨内脂肪瘤病例，使世界文献报道的此类病例总数达到30例。该肿瘤是一种骨原发性良性肿瘤，由含有萎缩性骨小梁的成熟脂肪组织构成。这种病变是一种明确的实体，与起源于骨膜、筋膜和肌肉的骨旁脂肪瘤截然不同，后者仅通过压迫或直接侵犯继发影响骨骼。作者强调该肿瘤极为罕见，并讨论了其临床、放射学、解剖学和病理学特征。鉴别诊断需考虑某些骨发育异常和肿瘤性病变，如：骨囊肿、非骨化性纤维瘤、动脉瘤样骨囊肿、单骨型纤维结构不良和孤立性骨髓瘤。完整切除后可治愈。
