Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030-4009, USA.
Skeletal Radiol. 2010 Jun;39(6):583-7. doi: 10.1007/s00256-009-0833-4. Epub 2009 Nov 20.
Chondroblastoma is a benign bone tumor that typically arises in the epiphysis of a long bone. However, when it occurs in non-epiphyseal location in flat bones, it may create a diagnostic problem. We describe such a case of chondroblastoma arising in the iliac bone. A 29-year-old man was incidentally found to have a bony pelvic lesion while undergoing evaluation for Crohn's disease. The radiographs and CT revealed an expansile lytic lesion in the right iliac bone. A core biopsy of the lesion was performed. The histopathology revealed the lesion to be a chondroblastoma with secondary features of aneurysmal bone cyst. An en bloc surgical resection of the tumor was performed.
成软骨细胞瘤是一种良性骨肿瘤,通常发生在长骨的骺端。然而,当它发生在扁骨的非骺端部位时,可能会造成诊断上的问题。我们描述了这样一个发生在髂骨的成软骨细胞瘤病例。一名 29 岁男性在因克罗恩病进行评估时偶然发现骨盆骨病变。放射线摄影和 CT 显示右侧髂骨有一个膨胀性溶骨性病变。对病变进行了核心活检。组织病理学显示病变为成软骨细胞瘤,伴有动脉瘤样骨囊肿的继发特征。对肿瘤进行了整块切除手术。