[一名47岁患者的颈部骨化性肌炎]
[Myositis ossificans of the neck in a 47 year old patient].
作者信息
Brauser O, Jürgens D, Braunstein S
机构信息
Klinik für Hals-Nasen-Ohrenheilkunde und plastische Kopf- und Halschirurgie des Evangelischen Krankenhauses Düsseldorf, Evangelisches Krankenhaus, Düsseldorf.
出版信息
Laryngorhinootologie. 2007 Mar;86(3):206-8. doi: 10.1055/s-2006-925285. Epub 2006 Apr 10.
BACKGROUND
Myositis ossificans is a heterotopic ossification of the soft tissue, which leads in progredient cases to functional disorder. Cervical localization is a rare entity. The clinical symptoms are more or less unspecific. Indicating is a foregoing trauma of the affected region.
CASE REPORT
We report about a 47 year old male patient with a dorsocervical mass, which had caused dysfunction. He was operated after the diagnosis had been histologically and radiologically confirmed.
CONCLUSIONS
In case of cervical tumors with radiological evidence of partial calcification differential diagnosis should keep in mind myositis ossificans next to tuberculosis or sarcoma. Surgery and postoperative prophylaxis with Indometacin is the therapy of choice.
背景
骨化性肌炎是软组织的异位骨化，在进行性病例中会导致功能障碍。颈部受累是一种罕见情况。临床症状或多或少不具有特异性。提示有患部先前的创伤史。
病例报告
我们报告一名47岁男性患者，其颈背部有一肿物，已导致功能障碍。在组织学和放射学确诊后对其进行了手术。
结论
对于有放射学证据显示部分钙化的颈部肿瘤，鉴别诊断时除了考虑结核或肉瘤外，还应想到骨化性肌炎。手术及术后用吲哚美辛预防是首选治疗方法。
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