Ghrea M, Mathieu G, Apoil A, Soubrane P, Dumontier C, Sautet A
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75571 Paris Cedex 12.
Rev Chir Orthop Reparatrice Appar Mot. 2003 May;89(3):261-5.
We report a case of a chondroma found in the soft tissues of the hand. Reports in the literature show that this cartilaginous tumor is a rare slowly-evolving benign tumor. Diagnosis is difficult as standard x-rays show variable images depending on the degree of calcification. Magnetic resonance imaging is helpful in orienting the diagnosis and delimiting the tumor but is not always useful in determining its exact origin. Positive diagnosis is provided by the pathology examination, but confirmation may be difficult to establish. We stress the importance of repeated microtrauma in the development of soft-tissue chondroma. Surgical treatment is the only successful solution but recurrence is not exceptional.
我们报告了一例在手软组织中发现的软骨瘤病例。文献报道显示,这种软骨肿瘤是一种罕见的缓慢发展的良性肿瘤。由于标准X光片根据钙化程度显示出不同的影像,因此诊断困难。磁共振成像有助于确定诊断方向并界定肿瘤,但在确定其确切起源方面并不总是有用。病理检查可提供阳性诊断,但可能难以确诊。我们强调反复微创伤在软组织软骨瘤发生发展中的重要性。手术治疗是唯一成功的解决办法,但复发并不罕见。