一名青少年患者颅骨的纤维-骨病变。
Fibro-osseous lesion of the cranium in an adolescent patient.
作者信息
Park Brian, Abode-Iyamah Kingsley, Lee Siang Liao, Kirby Patricia, El-Khoury George, Wilson Saul
机构信息
University of Iowa, Carver College of Medicine, Iowa City, IA, USA.
Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
出版信息
Surg Neurol Int. 2015 Jan 22;6:12. doi: 10.4103/2152-7806.149848. eCollection 2015.
BACKGROUND
Fibrous dysplasia, ossifying fibroma, and desmoplastic fibroma are rare benign calvarial lesions, which can have local aggressive behavior. These tumors can present with similar clinical and radiologic characteristics making diagnosis difficult at times.
CASE DESCRIPTION
A 16-year-old male presents after noting an indentation of his skull. Comparison with current and previous imaging revealed progressive erosion of the skull underlying the indentation.
CONCLUSION
Fibrous dysplasia, ossifying fibroma, and desmoplastic fibroma are rare fibro-osseous tumors with similar characteristics radiographically. Accurate diagnosis of these tumors can be difficult even with the combination of clinical presentation, imaging, and pathology. The treatment of choice is resection and cranial reconstruction, if necessary, with close follow-up as recurrence can occur.
背景
骨纤维异常增殖症、骨化性纤维瘤和促纤维组织增生性纤维瘤是罕见的颅骨良性病变，可具有局部侵袭性行为。这些肿瘤可表现出相似的临床和影像学特征，有时诊断困难。
病例描述
一名16岁男性在注意到颅骨有凹陷后前来就诊。与当前及既往影像学检查对比发现，凹陷下方的颅骨有进行性侵蚀。
结论
骨纤维异常增殖症、骨化性纤维瘤和促纤维组织增生性纤维瘤是罕见的纤维骨性肿瘤，影像学特征相似。即使结合临床表现、影像学检查和病理学检查，准确诊断这些肿瘤也可能存在困难。治疗选择为切除肿瘤，必要时进行颅骨重建，并密切随访，因为可能会复发。
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