Forest M, Charpentier Y L, Postel M, Tomeno B, Roux J P, Mazabraud A, Dahdouh B, Abelanet R
Sem Hop. 1978;54(21-24):747-53.
The authors report the pathological and clinical findings in five cases of chondrosarcoma resembling chondroblastic chondrosarcomas as described by Lichtenstein and Bernstein in 1959 and, above all, clear cell chondrosarcomas as described by Unni et al. (1976). These chondrosarcomas have a double peculiarity:--topographic, for their site is often epiphyseal :--anatomica, for they associate, in the usual chondrosarcomatous sectors, areas rich in clear cells, with a rich blood supply, and in some cases a diffuse reactional osteogenesis. Although the long term prognosis is similar to that of all chondrosarcomas, their course is sometimes very slow. One should thus distinguish carefully these tumours from chondroblastomas in spite of certain topographic and radiological similarities.
作者报告了5例软骨肉瘤的病理和临床发现,这些软骨肉瘤类似于1959年利希滕斯坦和伯恩斯坦所描述的软骨母细胞性软骨肉瘤,尤其是类似于乌尼等人(1976年)所描述的透明细胞软骨肉瘤。这些软骨肉瘤有两个独特之处:一是部位独特,因为其部位常位于骨骺;二是解剖结构独特,因为在常见的软骨肉瘤区域,它们伴有富含透明细胞、血供丰富的区域,在某些情况下还有弥漫性反应性骨生成。尽管其长期预后与所有软骨肉瘤相似,但其病程有时非常缓慢。因此,尽管在某些部位和放射学表现上有相似之处,仍应仔细将这些肿瘤与软骨母细胞瘤区分开来。