Patel Swaroop, Agrawal Atul, Maheshwari Rajesh, Chauhan Vijendra D
Department of Orthopaedics, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehradun, Uttarakhand, India.
Iran J Med Sci. 2015 Jan;40(1):77-80.
Among the rare bone tumors, the osteoblastoma is a fascinating tumor. The rarity, the predisposition to occur in any bone and the diagnostic dilemma makes this infrequent tumor interesting. It is sporadically reported in the literature and what is rarer is its occurrence in the pelvis. The unusual location and inconclusive radiographic findings with diffused diagnostic evidences delays the management of benign osteoblastoma. We encountered a patient with benign osteoblastoma of the pubic ramus of right side. An excisional biopsy was performed. Peroperatively, the tumor appeared as oval, reddish brown, bony hard mass lying just over the cortex of the right pubic ramus and not breaching the cortex. Histopathological study revealed an osteoid rich lesion. Its presence in pubis must not be ignored and periosteal osteoblastoma should be considered as a differential diagnosis.
在罕见骨肿瘤中,骨母细胞瘤是一种引人关注的肿瘤。其罕见性、可发生于任何骨骼的倾向以及诊断难题,使得这种不常见的肿瘤颇具研究价值。文献中对其报道较为零散,更罕见的是它发生于骨盆。这种不寻常的位置以及具有弥散性诊断证据的不确定影像学表现,延误了良性骨母细胞瘤的治疗。我们遇到一名右侧耻骨支患有良性骨母细胞瘤的患者。进行了切除活检。术中,肿瘤呈椭圆形,红棕色,质地坚硬如骨,位于右侧耻骨支皮质上方,未侵犯皮质。组织病理学研究显示为富含类骨质的病变。其在耻骨的出现不容忽视,骨膜骨母细胞瘤应被视为鉴别诊断之一。