Kayias E H, Drosos G I, Kazakos K I, Iatrou C, Blatsoukas K S, Verettas D-A
2nd Department of Orthopaedic Surgery, Athens Naval Hospital, Athens, Greece.
J Int Med Res. 2007 Sep-Oct;35(5):724-30. doi: 10.1177/147323000703500519.
We report the rare case of a histologically proven mixed-type intramuscular haemangioma, adjacent to the periosteum of the radius, that caused a periosteal reaction. We also carried out a review of the literature relevant to this case. A 28-year-old male professional drummer presented with an 8-month history of pain and swelling of the dorsal aspect of the right radius. Diagnosis was established on the basis of plain radiographs and magnetic resonance imaging, and was confirmed by histology. The lesion was treated solely by resection of the soft-tissue mass. The patient remained asymptomatic 4 years post-operatively, with no radiographic signs of recurrence. From a review of the literature, it is evident that the terminology for haemangiomas causing regional bone changes is unclear. A new classification of the intramuscular haemangiomas is proposed in order to distinguish between lesions that, according to current knowledge, exhibit radiological and clinical areas of overlap.
我们报告了一例罕见的组织学证实的混合型肌内血管瘤病例，该血管瘤毗邻桡骨骨膜，引起了骨膜反应。我们还对与此病例相关的文献进行了综述。一名28岁的男性职业鼓手，右桡骨背侧疼痛肿胀8个月。根据X线平片和磁共振成像确诊，并经组织学证实。该病变仅通过切除软组织肿块进行治疗。术后4年患者无症状，无复发的影像学征象。从文献综述来看，很明显导致局部骨改变的血管瘤的术语尚不明确。为了区分根据目前知识显示出放射学和临床重叠区域的病变，我们提出了一种新的肌内血管瘤分类方法。
