Gigis Ioannis, Gigis Panagiotis
Orthopaedics, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece ; Orthopaedic Department, Interbalkan Medical Center, Asklipiou 10, Pylaia, 57001 Thessaloniki, Greece.
Case Rep Orthop. 2012;2012:547963. doi: 10.1155/2012/547963. Epub 2012 Aug 2.
The most common benign tumors of the mesenchyme are the lipomas. Benign fatty tumors can arise in any location in which fat is present. Fibrolipomas are characterised by fat modules. Most patients affected by such tumors are in the fifth or sixth decade of life. When very close to vital structures such as joints, they may cause functional limitations as well as pain. Osseous and chondroid metaplasia can infrequently manifest after chronic persistence. Given the rarity of this condition, a case of a big fibrolipoma of Hoffa's fat pad with osseous and cartilaginous metaplasia is reported. A 44-year-old woman presented with an enlarging soft mass on the right knee in the infrapatellar fat pad. After a thorough preoperative clinical and imaging examination, the mass was removed and sent to laboratory where the diagnosis was put. One year after surgery, both local and general condition of the patient were good and no signs of recurrence were found.
间充质最常见的良性肿瘤是脂肪瘤。良性脂肪肿瘤可发生于任何有脂肪的部位。纤维脂肪瘤以脂肪模块为特征。受此类肿瘤影响的大多数患者处于人生的第五或第六个十年。当它们非常靠近关节等重要结构时,可能会导致功能受限以及疼痛。慢性持续后,骨化生和软骨化生很少见。鉴于这种情况罕见,本文报告了一例伴有骨化生和软骨化生的 Hoffa 脂肪垫巨大纤维脂肪瘤病例。一名 44 岁女性,右膝髌下脂肪垫出现一个不断增大的软组织肿块。经过全面的术前临床和影像学检查后,切除肿块并送实验室进行诊断。手术后一年,患者的局部和全身状况良好,未发现复发迹象。