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伴有局部侵袭性恶性变的骨纤维异常增殖症

Fibrous dysplasia with locally aggressive malignant change.

作者信息

Latham P D, Athanasou N A, Woods C G

机构信息

Nuffield Department of Orthopaedic Surgery, Nuffield Orthopaedic Centre, Headington, Oxford, UK.

出版信息

Arch Orthop Trauma Surg. 1992;111(3):183-6. doi: 10.1007/BF00388097.

DOI:10.1007/BF00388097
PMID:1316773
Abstract

This is a case report of a tumour which showed all the histological features of fibrous dysplasia without any features of high-grade malignancy, yet had become locally aggressive, causing cortical erosion and extension into soft tissue. Fibrous dysplasia is a well-recognised entity that encompasses monostotic lesions, polyostotic involvement and Albright's syndrome [6, 8]. Lesions in bone usually spare the epiphysis before puberty, but often involve the epiphyseal area after maturity and can progress during adult life [3]. Unless cystic [6, 10] or malignant change [7, 10, 11] occurs, fibrous dysplasia usually remains contained within bone.

摘要

这是一例肿瘤病例报告,该肿瘤具有骨纤维发育不良的所有组织学特征,无任何高级别恶性特征,但已具有局部侵袭性,导致皮质骨侵蚀并延伸至软组织。骨纤维发育不良是一种公认的疾病,包括单骨病变、多骨受累及奥尔布赖特综合征[6, 8]。骨病变在青春期前通常不累及骨骺,但在成熟后常累及骨骺区域,且在成年期可能进展[3]。除非发生囊性变[6, 10]或恶变[7, 10, 11],骨纤维发育不良通常局限于骨内。

相似文献

1
Fibrous dysplasia with locally aggressive malignant change.伴有局部侵袭性恶性变的骨纤维异常增殖症
Arch Orthop Trauma Surg. 1992;111(3):183-6. doi: 10.1007/BF00388097.
2
Locally aggressive fibrous dysplasia mimicking malignancy: a report of four cases and review of the literature.酷似恶性肿瘤的局部侵袭性骨纤维异常增殖症:4例报告并文献复习
Clin Orthop Relat Res. 2015 Feb;473(2):742-50. doi: 10.1007/s11999-014-3926-x. Epub 2014 Sep 12.
3
Fibrous tumors of bone.骨纤维性肿瘤
Orthop Clin North Am. 1989 Jul;20(3):377-93.
4
Fibrocartilaginous mesenchymoma with low-grade malignancy.低度恶性纤维软骨间叶瘤
Skeletal Radiol. 1984;12(4):263-9. doi: 10.1007/BF00349507.
5
Osteosarcoma in a patient with polyostotic fibrous dysplasia and Albright's syndrome.一名患有多骨型纤维发育不良和奥尔布赖特综合征患者的骨肉瘤。
Orthopedics. 1995 Jan;18(1):71-5. doi: 10.3928/0147-7447-19950101-15.
6
[Pretherapeutic diagnosis of fibrous dysplasia].
Zentralbl Chir. 2000;125(9):763-7. doi: 10.1055/s-2000-10675.
7
[Recurrent malignant fibrous histiocytoma of the forearm].
Aktuelle Traumatol. 1992 Feb;22(1):40-3.
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Malignant transformation in monostotic fibrous dysplasia: clinical features, imaging features, outcomes in 10 patients, and review.单骨型骨纤维异常增殖症的恶性转化:10例患者的临床特征、影像特征、治疗结果及文献复习
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Undifferentiated sarcoma arising from fibrous dysplasia in a young adult.青年纤维结构不良继发未分化肉瘤。
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Locally Aggressive Fibrous Dysplasia Mimicking Malign Calvarial Lesion.
J Craniofac Surg. 2018 May;29(3):e318-e319. doi: 10.1097/SCS.0000000000004453.

引用本文的文献

1
A narrative review of the literature on the pediatric orthopedic management of fibrous dysplasia.关于纤维发育不良的儿科骨科治疗的文献叙述性综述。
Front Pediatr. 2025 Jan 31;12:1502262. doi: 10.3389/fped.2024.1502262. eCollection 2024.
2
Polyostotic fibrous dysplasia with epiphyseal involvement of the proximal femur in a child: a case report and review of the literature.儿童近端股骨骨骺受累的多骨型纤维发育不良:一例报告并文献复习
Front Pediatr. 2025 Jan 20;12:1505766. doi: 10.3389/fped.2024.1505766. eCollection 2024.
3
Patient-Derived Organoids Recapitulate Pathological Intrinsic and Phenotypic Features of Fibrous Dysplasia.

本文引用的文献

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THE MALIGNANT TRANSFORMATION OF FIBROUS DYSPLASIA.骨纤维异常增殖症的恶性转化
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Fibrocartilaginous mesenchymoma with low-grade malignancy.低度恶性纤维软骨间叶瘤
患者来源类器官重现纤维结构不良的病理性固有和表型特征。
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Int J Mol Sci. 2023 Oct 26;24(21):15591. doi: 10.3390/ijms242115591.
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Continued growth of locally aggressive fibrous dysplasia of 22 years duration after reaching adulthood: a case report.成年后持续生长22年的骨纤维异常增殖症:一例报告
J Surg Case Rep. 2020 Feb 11;2020(2):rjz406. doi: 10.1093/jscr/rjz406. eCollection 2020 Feb.
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Locally aggressive monostotic fibrous dysplasia of the cervical spine mimicking malignancy: a case report and literature review.模仿恶性肿瘤的颈椎局部侵袭性单骨纤维发育不良:一例报告及文献综述
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Fibrous dysplasia: an unusual case of a very aggressive form with costo-vertebral joint destruction and invasion of the contralateral D7 vertebral body.骨纤维异常增殖症:1例罕见的侵袭性很强的病例,伴有肋椎关节破坏及对侧第7椎体侵犯。
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Locally aggressive fibrous dysplasia mimicking malignancy: a report of four cases and review of the literature.酷似恶性肿瘤的局部侵袭性骨纤维异常增殖症:4例报告并文献复习
Clin Orthop Relat Res. 2015 Feb;473(2):742-50. doi: 10.1007/s11999-014-3926-x. Epub 2014 Sep 12.
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Locally aggressive fibrous dysplasia.局部侵袭性纤维结构不良
Virchows Arch. 2013 Jul;463(1):79-84. doi: 10.1007/s00428-013-1437-x. Epub 2013 Jun 13.
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Polyostotic fibrous dysplasia with epiphyseal involvement in long bones: a case report.多骨型纤维发育不良累及长骨骨骺:一例报告
Case Rep Orthop. 2013;2013:715402. doi: 10.1155/2013/715402. Epub 2013 Apr 8.
Skeletal Radiol. 1984;12(4):263-9. doi: 10.1007/BF00349507.
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Ossifying fibroma of the long bones. A light and electron microscopic study.长骨骨化性纤维瘤。光镜和电镜研究。
Arch Pathol. 1966 Sep;82(3):218-33.
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Malignant transformation of fibrous dysplasia. A case report and review of the literature.骨纤维异常增殖症的恶性转化。一例病例报告及文献复习。
Clin Orthop Relat Res. 1988 Mar(228):281-9.
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Cystic degeneration of fibrous dysplasia masquerading as sarcoma.纤维发育不良的囊性变伪装成肉瘤。
J Bone Joint Surg Br. 1989 May;71(3):434-6. doi: 10.1302/0301-620X.71B3.2722936.
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Low-grade intraosseous osteosarcoma.低级别骨内骨肉瘤
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8
Osteofibrous dysplasia of long bones a new clinical entity.长骨骨纤维发育不良——一种新的临床实体
Ital J Orthop Traumatol. 1976 Aug;2(2):221-37.