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手指纤维骨性假瘤:1例病例展示及文献复习

Fibro-Osseous Pseudotumour of the Digit: An Illustrative Case and Review of the Literature.

作者信息

Zhou Jieyun, McLean Catriona, Keating Cameron, Finkemeyer James, Morsi Adel

机构信息

* Plastic and Reconstructive Surgery Unit, Western Health, Australia.

† Head of Unit, Department of Anatomical Pathology, Alfred Health, Australia.

出版信息

Hand Surg. 2015 Oct;20(3):458-62. doi: 10.1142/S0218810415720193.

Abstract

Fibro-osseous pseudotumour is a rare, benign ossifying tumour of soft tissue that should be considered in the differential diagnosis of any tumour affecting the digits. Clinical diagnosis is difficult and fibro-osseous pseudotumour is often mistaken for malignancy, leading to inappropriate treatment. Knowledge of its clinical and histopathological features thus allows for appropriate primary treatment, sparing the patient from unnecessary radical surgery associated with presumed malignancy. We present the case of a 48-year-old male with fibro-osseous pseudotumour affecting the right ring finger, successfully treated with local excision. This is the second reported Australian case of fibro-osseous pseudotumour, and we present an extensive review of the literature relating to the diagnosis and management of this rare tumour.

摘要

纤维骨性假瘤是一种罕见的软组织良性骨化性肿瘤,在任何累及手指的肿瘤鉴别诊断中均应予以考虑。临床诊断困难,纤维骨性假瘤常被误诊为恶性肿瘤,导致治疗不当。了解其临床和组织病理学特征有助于进行适当的初始治疗,使患者避免因假定为恶性肿瘤而进行不必要的根治性手术。我们报告一例48岁男性右手环指纤维骨性假瘤患者,经局部切除成功治愈。这是澳大利亚第二例报告的纤维骨性假瘤病例,我们对有关这种罕见肿瘤诊断和治疗的文献进行了广泛综述。

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