Sferopoulos N K, Kotakidou R
Department of Orthopedic, Surgery, G. Gennimatas Hospital, Thessaloniki, Greece.
Acta Orthop Belg. 2001 Oct;67(4):412-6.
Three cases of calcifying aponeurotic fibroma in an 8-year-old boy, a 43-year-old woman and a 48-year-old man are presented. The lesions involved the substance of the palmaris longus tendon, the lateral aspect of the foot at the base of the fifth metatarsal and the fifth digit of the foot, respectively. The clinical and radiologic findings, including ultrasound and computed tomography, are described. Histologic features included chondroid tissue and calcification within areas of proliferative plump fibroblasts in the younger patient, while in the two adults the lesions were more sharply defined showing increased calcification of dense connective tissue with less pronounced cellularity and no evidence of chondroid differentiation.
本文报告了三例钙化性腱膜纤维瘤病例,患者分别为一名8岁男孩、一名43岁女性和一名48岁男性。病变分别累及掌长肌腱实质、第五跖骨基部足部外侧以及足部第五趾。描述了包括超声和计算机断层扫描在内的临床和放射学表现。组织学特征包括:较年轻患者的增生性丰满成纤维细胞区域内有软骨样组织和钙化;而在两名成年人中,病变边界更清晰,显示致密结缔组织钙化增加,细胞性不那么明显,且无软骨样分化迹象。