Nakazora Shigeto, Kusuzaki Katsuyuki, Matsumine Akihiko, Seto Masashi, Fukutome Kazuo, Uchida Atsumasa
Department of Orthopaedic Surgery, Mie University Faculty of Medicine, Edobashi, Tsu City, Mie 514-8507, Japan.
Anticancer Res. 2003 Jul-Aug;23(4):3517-22.
This report presents an extremely rare case of chondromyxoid fibroma arising at the clavicle. To the best of our knowledge, this may be the first case report demonstrating in detail the clinicopathological findings of chondromyxoid fibroma at the clavicle. The patient was a 34-year-old housewife. Radiography and CT demonstrated an osteolytic lesion with cortical thinning and expansion with partial destruction at the diaphysis of the left clavicle. MRI showed a homogeneous iso-signal intensity mass in T1-weighted imaging and a heterogeneous high-signal intensity in T2-weighted imaging. Histological findings of the widely resected tumor were consistent with chondromyxoid fibroma. The pre-operative diagnosis of chondromyxoid fibroma at an unusual location, as in this case, is difficult from the imaging examinations, or sometimes even from the histological examination of biopsy materials.
本报告展示了一例极其罕见的发生于锁骨的软骨黏液样纤维瘤病例。据我们所知,这可能是首例详细展示锁骨软骨黏液样纤维瘤临床病理特征的病例报告。患者为一名34岁的家庭主妇。X线摄影和CT显示左锁骨骨干处有一溶骨性病变,伴有皮质变薄、膨胀及部分破坏。MRI在T1加权成像上显示为均匀等信号肿块,在T2加权成像上显示为不均匀高信号。广泛切除肿瘤的组织学检查结果符合软骨黏液样纤维瘤。对于像本病例这样发生于不寻常部位的软骨黏液样纤维瘤,术前通过影像学检查甚至有时通过活检材料的组织学检查进行诊断都很困难。