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胸骨孤立性嗜酸性肉芽肿

Solitary eosinophilic granuloma of sternum.

作者信息

Eroglu Atilla, Kürkçüoglu Ibrahim Can, Karaoglanoglu Nurettin

机构信息

Department of Thoracic Surgery, Atatürk University, Medical Faculty, Erzurum, Turkey.

出版信息

Ann Thorac Surg. 2004 Jan;77(1):329-31. doi: 10.1016/s0003-4975(03)01051-8.

Abstract

Primary bone tumors of the chest wall are uncommon, although a wide variety of both benign and malignant tumors arise within the chest wall. Among those tumors, sternal tumors are rare and usually malignant. We report an extremely rare case of eosinophilic granuloma developed in the sternum in a 30-year-old woman. She presented anterior chest pain and somewhat tender mass over the sternum. Chest roentgenogram, computed tomography scanning of the thorax, and total body bone scintigraphy revealed an isolated lytic lesion in the corpus sterni. A tru-cut biopsy of the mass exhibited the typical histologic appearance of eosinophilic granuloma. The solitary lesion was removed completely surgically. This rare condition should be kept in mind in differential diagnosis of sternal lesions.

摘要

胸壁原发性骨肿瘤并不常见,尽管胸壁内会出现各种各样的良性和恶性肿瘤。在这些肿瘤中,胸骨肿瘤很罕见,且通常为恶性。我们报告一例极为罕见的30岁女性胸骨嗜酸性肉芽肿病例。她表现为前胸疼痛以及胸骨上有轻度压痛的肿块。胸部X线片、胸部计算机断层扫描以及全身骨闪烁显像显示胸骨体有一个孤立的溶骨性病变。对该肿块进行的粗针活检显示出嗜酸性肉芽肿典型的组织学表现。通过手术将这个孤立性病变完全切除。在胸骨病变的鉴别诊断中应考虑到这种罕见情况。

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