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戈勒姆-斯托特病:里佐利研究所的经验及文献回顾。

Gorham-Stout disease: the experience of the Rizzoli Institute and review of the literature.

机构信息

Department of Orthopedics, University of Bologna, Istituto Ortopedico Rizzoli, Bologna, Italia.

出版信息

Skeletal Radiol. 2011 Nov;40(11):1391-7. doi: 10.1007/s00256-010-1051-9. Epub 2010 Oct 25.

DOI:10.1007/s00256-010-1051-9
PMID:20972870
Abstract

Gorham-Stout disease (also known as "disappearing bone disease") was first described by Jackson in 1838, but was properly defined by Gorham and Stout in a series of 24 patients in 1954-1955. It is a rare disease of unknown etiology (about 200 cases reported in the literature) characterized by spontaneous progressive resorption of bone without malignant proliferation of vascular structures. The diagnosis is one of exclusion and it is based on combined histological, radiological, and clinical features. Benign vascular proliferation with fatty bone marrow and thinning of bony trabeculae is a typical histological feature. Standard radiographs of disappearing bone disease show progressive bony resorption with adjacent soft tissue involvement. Most cases of Gorham-Stout disease resolve spontaneously, but prognosis remains unpredictable. This study reports 13 cases of Gorham-Stout disease treated in our institution from 1968 to 2008. The aim of the work was to review our series and the literature on this rare disease, as well as to evaluate whether or not an optimal treatment can be identified and recommended.

摘要

戈勒姆-斯托特病(也称为“消蚀性骨病”)于 1838 年由杰克逊首次描述,但在 1954-1955 年戈勒姆和斯托特对 24 例患者的一系列研究中得到了正确定义。它是一种病因不明的罕见疾病(文献中报道约 200 例),其特征为骨自发性进行性吸收,而血管结构无恶性增殖。诊断为排除性诊断,基于组织学、影像学和临床特征综合判断。良性血管增殖伴脂肪骨髓和骨小梁变薄是其典型的组织学特征。消蚀性骨病的标准 X 线片显示进行性骨吸收伴相邻软组织受累。大多数戈勒姆-斯托特病病例可自发缓解,但预后仍不可预测。本研究报告了我院自 1968 年至 2008 年收治的 13 例戈勒姆-斯托特病患者。目的是回顾该罕见疾病的我们的病例系列和文献,并评估是否可以确定和推荐最佳治疗方案。

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Chylothorax Associated with the Syndrome of Idiopathic Osteolysis Including Gorham-Stout Disease: Spontaneous Remission Without Treatment.与包括戈勒姆-斯托特病在内的特发性骨质溶解综合征相关的乳糜胸:未经治疗的自发缓解。
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Gorham-Stout disease of spine accompanying chylothorax: a case description.

本文引用的文献

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Gorham's disease or massive osteolysis.戈谢病或大块骨质溶解症。
Clin Med Res. 2005 May;3(2):65-74. doi: 10.3121/cmr.3.2.65.
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Gorham-Stout disease--stabilization during bisphosphonate treatment.戈勒姆-斯托特病——双膦酸盐治疗期间的病情稳定情况
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Gorham-Stout disease with life-threatening pleural effusion treated with a pleuro-peritoneal shunt: a case report.采用胸腹分流术治疗伴有危及生命胸腔积液的戈勒姆-斯托特病:一例报告
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Genetic and Molecular Determinants of Lymphatic Malformations: Potential Targets for Therapy.淋巴管畸形的遗传和分子决定因素:潜在治疗靶点
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Current concepts from diagnosis to management in Gorham-Stout disease: a systematic narrative review of about 350 cases.戈勒姆-斯托特病从诊断到治疗的当前概念:对约350例病例的系统叙述性综述
EFORT Open Rev. 2022 Jan 11;7(1):35-48. doi: 10.1530/EOR-21-0083.
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Gorham-Stout Disease with Multiple Bone Involvement-Challenging Diagnosis of a Rare Disease and Literature Review.戈勒姆-斯托特病伴多发骨累及——罕见病的诊断挑战及文献复习。
Medicina (Kaunas). 2021 Jul 2;57(7):681. doi: 10.3390/medicina57070681.
10
Negative-pressure Wound Therapy for Sacral Pressure Ulcer in Gorham-Stout Disease.负压伤口治疗在戈勒姆-斯托特病骶部压疮中的应用
Plast Reconstr Surg Glob Open. 2021 Jan 11;9(1):e3303. doi: 10.1097/GOX.0000000000003303. eCollection 2021 Jan.
J Oral Maxillofac Surg. 2004 Feb;62(2):225-30. doi: 10.1016/j.joms.2003.05.008.
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Disappearing bones.骨质消失
J Bone Joint Surg Br. 1958 Aug;40-B(3):502-13. doi: 10.1302/0301-620X.40B3.502.
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Massive osteolysis (acute spontaneous absorption of bone, phantom bone, disappearing bone); its relation to hemangiomatosis.巨大性骨溶解(骨的急性自发性吸收、幻影骨、骨消失);其与血管瘤病的关系。
J Bone Joint Surg Am. 1955 Oct;37-A(5):985-1004.
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Disappearing bones: a rare form of massive osteolysis; report of two cases, one with autopsy findings.骨质消失:一种罕见的广泛性骨质溶解形式;两例报告,其中一例有尸检结果。
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Gorham-Stout disease of the shoulder girdle and cervico-thoracic spine: fatal course in a 65-year-old woman.肩胛带及颈胸椎的戈谢病-斯托特病:一名65岁女性的致命病程
Skeletal Radiol. 2002 Dec;31(12):724-9. doi: 10.1007/s00256-002-0568-y. Epub 2002 Sep 21.
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MRI of Gorham's disease: findings in two cases.戈谢病的磁共振成像:两例病例的影像学表现
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Cellular and humoral mechanisms of osteoclast formation and bone resorption in Gorham-Stout disease.戈勒姆-斯托特病中破骨细胞形成和骨吸收的细胞及体液机制。
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The Gorham-Stout syndrome (Gorham's massive osteolysis). A report of six cases with histopathological findings.戈勒姆-斯托特综合征(戈勒姆氏大块骨质溶解症)。6例组织病理学检查结果报告。
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