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原发性肋骨骨髓脂肪瘤:一例报告并文献复习

Primary costal myelolipoma: a case report and review of the literature.

作者信息

Wen Jing, Chen Houping, Yi Wei, Zhou Xinhua

机构信息

Department of Pathology, Guizhou Provincial People's Hospital Zhongshan East Road, 83, Guiyang 550002, China ; Department of Pathology, School of Basic Medical Science, Southern Medical University Guangzhou 510515, China.

Department of Pediatric Surgery, Guiyang Children's Hospital Ruijin South Road, 63, Guiyang 550003, China.

出版信息

Int J Clin Exp Pathol. 2015 Feb 1;8(2):2202-4. eCollection 2015.

Abstract

Extra-adrenal myelolipoma is an uncommon entity. But myelolipoma located in the bone is extremely rare. We report a case of myelolipoma occurring in an unusual site: the Costa. It was demonstrated by Computed tomography (CT) scan that an expansive bony mass with heterogeneous low density contents adhered to the 6(th) ribs. The mass was successful resected and which was yielded to a bony lump through grossly inspection. Histological, the mass was confirmed as an intraosseous myelolipoma, with mature adipocytes mixed with hemopoietic cells. To the authors' knowledge, it is the first reported that myelolipoma located in the rib in human beings.

摘要

肾上腺外髓脂肪瘤是一种罕见的疾病。但位于骨骼中的髓脂肪瘤极为罕见。我们报告一例发生在不寻常部位——肋骨的髓脂肪瘤病例。计算机断层扫描(CT)显示,一个密度不均的低密度膨胀性骨质肿物附着于第6肋骨。该肿物成功切除,大体检查为骨性肿块。组织学检查证实该肿物为骨内髓脂肪瘤,由成熟脂肪细胞和造血细胞混合组成。据作者所知,这是人类首例报告的位于肋骨的髓脂肪瘤。

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本文引用的文献

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Primary myelolipoma of the chest wall.胸壁原发性髓脂肪瘤
Ann Thorac Surg. 2009 Oct;88(4):e39-41. doi: 10.1016/j.athoracsur.2009.06.085.
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Intraosseous myelolipoma.骨内髓脂肪瘤
Skeletal Radiol. 2007 Dec;36(12):1181-4. doi: 10.1007/s00256-007-0347-x. Epub 2007 Jul 6.
6
Focal hematopoietic hyperplasia of the rib.肋骨局灶性造血增生
Skeletal Radiol. 2002 Mar;31(3):175-8. doi: 10.1007/s00256-001-0457-9. Epub 2002 Jan 23.
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Focal hematopoietic hyperplasia of the rib--a form of pseudotumor.
Skeletal Radiol. 1984;11(2):108-18. doi: 10.1007/BF00348798.
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Myelolipoma in a heterotopic adrenal gland: light and electron microscopic findings.
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