Nishida Jun, Furumachi Katsuro, Ehara Shigeru, Satoh Takashi, Okada Kyoji, Shimamura Tadashi
Department of Orthopaedic Surgery, School of Medicine, Iwate Medical University, Morioka, Japan.
Skeletal Radiol. 2007 May;36(5):445-8. doi: 10.1007/s00256-006-0212-3. Epub 2006 Oct 5.
An 76-year-old man with an indolent soft tissue mass on the volar aspect of the left elbow was referred to our institution with a diagnosis of a soft tissue tumor. He had a history of lung tuberculosis since the age of 30. The mass was adjacent to the biceps brachi tendon. It demonstrated homogeneous low-signal intensity on T1-weighted magnetic resonance (MR) images and heterogeneous relatively high signal intensity with scattered low and high signal intensity areas on T2-weighted MR images. An excision was performed after needle biopsy with presumptive diagnosis of bicipitoradial bursitis. The histological specimen revealed an epithelioid cell granuloma with central necrosis. While the occurrence of tuberculous bicipitoradial bursitis has never been reported, this case demonstrates that it can be considered to be among the causes of a cystic lesion around the elbow joint.
一名76岁男性,左肘掌侧有一生长缓慢的软组织肿块,因软组织肿瘤诊断被转诊至我院。他自30岁起有肺结核病史。肿块毗邻肱二头肌腱。在T1加权磁共振(MR)图像上呈均匀低信号强度,在T2加权MR图像上呈不均匀相对高信号强度,伴有散在的低信号和高信号区域。在针吸活检后进行了切除,初步诊断为肱桡滑囊炎。组织学标本显示为伴有中央坏死的上皮样细胞肉芽肿。虽然从未有过结核性肱桡滑囊炎发生的报道,但该病例表明,它可被视为肘关节周围囊性病变的病因之一。