Arockiaraj Justin, Balaji G Gopisankar, Vidyasagar Bandikala, Ashok Anand
Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Orthopaedics, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
BMJ Case Rep. 2015 Sep 29;2015:bcr2015212070. doi: 10.1136/bcr-2015-212070.
Bone tumours arising from the coracoid process of the scapula are very rare. We present a case of a 19-year-old man with left shoulder pain for 1 year, with associated infraclavicular swelling for 8 months. Examination revealed a tender, bony, hard swelling measuring 3×4 cm. Imaging revealed an expansile osteolytic lesion arising from the coracoid process with loss of corticomedullary differentiation. MRI showed altered signal in the adjacent soft tissues. The patient underwent en bloc resection of the lesion. Histology was suggestive of osteoblastoma. At the end of 2 years follow-up, the patient had no pain or recurrence of the lesion. We present this case for its rare location and have briefly discussed the difficulties in diagnosis of this condition.
起源于肩胛骨喙突的骨肿瘤非常罕见。我们报告一例19岁男性,左肩疼痛1年,伴有锁骨下肿胀8个月。检查发现一个压痛性、骨性、坚硬的肿块,大小为3×4厘米。影像学检查显示喙突处有一个膨胀性溶骨性病变,皮质骨和髓质骨分界消失。磁共振成像显示相邻软组织信号改变。患者接受了病变的整块切除。组织学检查提示为骨母细胞瘤。随访2年结束时,患者无疼痛,病变无复发。我们报告此病例是因其位置罕见,并简要讨论了这种疾病诊断中的困难。