Hoeffel C, Panuel M, Plenat F, Mainard L, Hoeffel J C
Department of Radiology, Hôpital Jeanne d'Arc, Toul, France.
Eur Radiol. 1999;9(4):669-71. doi: 10.1007/s003300050730.
A 12-year-old-girl presented with a fracture of an osteolytic lesion of the distal radius. A 7-year-old girl presented with a fracture of an osteolytic lesion of the femoral shaft. In both cases it was a non-ossifying fibroma with fracture misdiagnosed at pathology as aneurysmal bone cyst. Fractures through non-ossifying fibromas may alter the histological pattern of the initial lesion in two ways: firstly, by the presence of blood pigments due to the fracture, and secondly, by formation of new bone. Radiological-pathological correlation is essential to avoid histological errors after pathological fracture in a non-ossifying fibroma.
一名12岁女孩因桡骨远端溶骨性病变骨折就诊。一名7岁女孩因股骨干溶骨性病变骨折就诊。在这两例中,均为非骨化性纤维瘤骨折,病理诊断时被误诊为骨囊肿。非骨化性纤维瘤骨折可能通过两种方式改变初始病变的组织学模式:其一,因骨折出现血液色素;其二,形成新骨。放射学与病理学的关联对于避免非骨化性纤维瘤病理性骨折后的组织学误诊至关重要。