Lin Jiann-Her, Lin En-Yuan, Liu Ming-Ying
Department of Neurological Surgery, Tri-service General Hospital, Taipei, Taiwan.
Br J Neurosurg. 2007 Dec;21(6):626-8. doi: 10.1080/02688690701593587.
A 55-year-old female presented with a painful protruding mass in right parietal skull for 7 months. Interestingly, another smaller bony lesion, separated from the symptomatic one, was disclosed in right frontal skull on imaging study. The larger one was completely excised, first with a picture of an aggressive osteoblastoma in the pathology. The smaller one in the frontal skull was excised subsequently, presenting the same pathological picture as the larger one. No other foci of osteoblastomas were detected on the whole body bone scan. To our knowledge, this is the first case with double independent osteoblastomas occurring in frontal and parietal skull. Surgical strategy for these two bony lesions was discussed.
一名55岁女性因右侧顶骨出现疼痛性突出肿块7个月前来就诊。有趣的是，影像学检查发现右侧额骨有另一个较小的骨病变，与有症状的病变分开。较大的病变被完整切除，病理检查最初显示为侵袭性成骨细胞瘤。随后切除了额骨中的较小病变，其病理表现与较大病变相同。全身骨扫描未发现其他成骨细胞瘤病灶。据我们所知，这是首例发生在额骨和顶骨的双发性独立成骨细胞瘤病例。讨论了针对这两个骨病变的手术策略。
