Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC.
Pediatr Neonatol. 2013 Aug;54(4):278-80. doi: 10.1016/j.pedneo.2012.11.017. Epub 2013 Jan 16.
Chondroblastoma is a relatively uncommon but benign bone tumor that is typically found in a long-bone epiphysis. Reports of this type of tumor in the carpals have been rare, and even fewer cases of such tumors in the triquetrum have been reported. Here, we present classical findings of a chondroblastoma at an unusual location, the triquetrum, in an adolescent. Fat-suppressed T2*-weighted imaging revealed a hyperintense tumor matrix replacing the bony trabecula of the triquetrum, which had not been addressed in previous literature. Radiography-based differential diagnosis of a bubbly lesion in the hand of an adolescent, even in the small carpal bones, should include chondroblastoma.
软骨母细胞瘤是一种相对少见但良性的骨肿瘤,通常发生在长骨的骺端。腕骨中此类肿瘤的报道很少,而三角骨中此类肿瘤的报道则更少。在此,我们介绍了一例青少年三角骨中不常见部位的软骨母细胞瘤的典型表现。脂肪抑制 T2*-weighted 成像显示,肿瘤基质呈高信号,取代了三角骨的骨小梁,这在之前的文献中并未提及。基于 X 线的鉴别诊断应包括软骨母细胞瘤,对于青少年手部,即使是小的腕骨中的泡状病变也应如此。