Simon K, Leithner A, Bodo K, Windhager R
Medical University of Graz, Graz, Austria.
J Hand Surg Eur Vol. 2011 Jun;36(5):376-8. doi: 10.1177/1753193411401987. Epub 2011 Mar 3.
This paper reviews the clinical and radiographic features and treatment results in eight patients with intraosseous epidermoid cysts in the terminal phalanx of a finger seen over a period of 26 years. Data on age, sex, occupation, diagnostic findings, history of injury in six cases, treatment and follow-up were obtained by reviewing medical records and the histopathological findings using the hospital database. The most frequent symptoms of pressure pain, tenderness, redness and swelling occurred at a median time of 12 years after trauma. Male patients were mainly affected (7:1). In four the intraosseous epidermoid cysts were confused with other osteolytic diseases before surgery. Magnetic resonance imaging is recommended in any case of an osteolytic, expanding lesion, particularly in cases that are clinically and radiologically not obviously an intraosseous epidermoid cyst.
本文回顾了26年间所诊治的8例手指末节指骨骨内表皮样囊肿患者的临床、影像学特征及治疗结果。通过查阅病历及医院数据库中的组织病理学检查结果，获取了患者的年龄、性别、职业、诊断结果、6例患者的损伤史、治疗及随访等数据。最常见的症状为压痛、触痛、红肿，这些症状多在创伤后12年出现。男性患者为主（7例男性，1例女性）。4例骨内表皮样囊肿在术前被误诊为其他溶骨性疾病。对于任何溶骨性、膨胀性病变，尤其是临床及影像学表现不明显为骨内表皮样囊肿的病例，建议行磁共振成像检查。
