Hatano Hiroshi, Morita Tetsuro, Kobayashi Hiroto, Ito Takui, Segawa Hiroyuki, Hasegawa Satoshi
Department of Orthopedic Surgery, Niigata Cancer Center, 2-15-3, Kawagishi-Cho, 951-8566 Niigata City, Japan.
Skeletal Radiol. 2005 Mar;34(3):171-5. doi: 10.1007/s00256-004-0797-3. Epub 2004 Jun 29.
Extraskeletal osteosarcoma is a rare malignancy, which accounts for 1-2% of all soft tissue sarcomas; occurrence of these tumors in the head and neck is extremely rare. We present a case of extraskeletal osteosarcoma arising in the subcutaneous tissue of the jaw angle, the central portion of which displayed calcification. Imaging findings were interesting in terms of a high grade malignancy in that the tumor was small and well circumscribed; its appearance mimicked a calcified lymph node. The differential diagnosis of this lesion as well as the imaging and pathological features of extraskeletal osteosarcoma are discussed.
骨外骨肉瘤是一种罕见的恶性肿瘤,占所有软组织肉瘤的1%-2%;这些肿瘤发生在头颈部极为罕见。我们报告一例发生于下颌角皮下组织的骨外骨肉瘤病例,肿瘤中央部分出现钙化。就高级别恶性肿瘤而言,影像学表现很有意思,因为肿瘤体积小且边界清晰;其外观类似钙化淋巴结。本文讨论了该病变的鉴别诊断以及骨外骨肉瘤的影像学和病理学特征。