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一例桡骨表面血管瘤，造成了放射学诊断困难。

A surface-based hemangioma of the radius which posed radiological diagnostic difficulties.

作者信息

Shinohara Takaaki, Tatebe Masahiro, Yamamoto Michiro, Kurimoto Shigeru, Hirata Hitoshi

机构信息

Department of Hand Surgery, Graduate School of Medicine, Nagoya University, Nagoya, Japan.

出版信息

Nagoya J Med Sci. 2013 Feb;75(1-2):125-9.

PMID:23544276
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4345707/
Abstract

Surface-based bone hemangiomas are uncommon, mostly occurring in long bones of the lower extremities. Radiographic surface-based bone hemangioma images may present various features that provide a diagnostic challenge. We report a case of surface-based hemangioma of the radius that posed radiological diagnostic difficulties. The tumor size was small and the cortical reaction was subtle. MRI findings were nonspecific and angiography was useful in the assessment of painful but less obvious surface-based bone hemangioma. The patient's pain improved following surgery and no tumor recurrence was observed at 3 years after surgery.

摘要

骨表面血管瘤并不常见，多发生于下肢长骨。基于影像学的骨表面血管瘤图像可能呈现出各种特征，给诊断带来挑战。我们报告一例桡骨骨表面血管瘤病例，该病例在放射学诊断上存在困难。肿瘤体积较小，皮质反应不明显。磁共振成像（MRI）表现不具有特异性，血管造影术有助于评估疼痛但表现不明显的骨表面血管瘤。患者术后疼痛改善，术后3年未观察到肿瘤复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/683e/4345707/a63c0246ff89/2186-3326-75-0125-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/683e/4345707/070104ff8804/2186-3326-75-0125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/683e/4345707/205755bd373b/2186-3326-75-0125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/683e/4345707/cb8755f34581/2186-3326-75-0125-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/683e/4345707/da5b03f54840/2186-3326-75-0125-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/683e/4345707/a63c0246ff89/2186-3326-75-0125-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/683e/4345707/070104ff8804/2186-3326-75-0125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/683e/4345707/205755bd373b/2186-3326-75-0125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/683e/4345707/cb8755f34581/2186-3326-75-0125-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/683e/4345707/da5b03f54840/2186-3326-75-0125-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/683e/4345707/a63c0246ff89/2186-3326-75-0125-g005.jpg

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引用本文的文献

1
Single-Stage Surgery Using Calcium Sulfate Pellets in Association with Tumor Resection as Treatment for Intraosseous Hemangioma of the Radius Shaft in a 2-Year-Old Boy.采用硫酸钙颗粒联合肿瘤切除的一期手术治疗一名2岁男孩桡骨干骨内血管瘤
J Hand Microsurg. 2017 Dec;9(3):154-158. doi: 10.1055/s-0037-1605355. Epub 2017 Aug 1.

本文引用的文献

1
Solitary skeletal hemangioma of the extremities.四肢孤立性骨血管瘤
Skeletal Radiol. 2000 Sep;29(9):502-13. doi: 10.1007/s002560000251.
2
Surface-based hemangioma of bone: three case studies and a review of the literature.骨表面血管瘤：三例病例研究及文献综述
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Surface-based hemangiomas of bone. A review of 11 cases.骨表面血管瘤。11例病例回顾。
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Subperiosteal hemangioma. A case report and review of the literature.骨膜下血管瘤。病例报告及文献综述。
Clin Orthop Relat Res. 1988 Jul(232):279-83.
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Tibial periosteal hemangioma.胫骨骨膜血管瘤
Clin Orthop Relat Res. 1975 Jan-Feb(106):242-4. doi: 10.1097/00003086-197501000-00035.