Allieu Y, Lussiez B, Benichou M, Cenac P
Service Orthopedie 2, Hôpital Lapeyronie, Montpellier, France.
J Hand Surg Am. 1989 May;14(3):538-41. doi: 10.1016/s0363-5023(89)80020-6.
The diagnosis of an osteoid osteoma in the proximal phalanx of the right index finger was suggested by the patient's history and the initial radiographs. The diagnosis was histologically confirmed postoperatively. One year later, however, persistent symptoms and typical radiographic findings, again suggested the presence of an osteoid osteoma. Subsequent en bloc resection of the second nidus, which was again histologically confirmed as an osteoid osteoma, was followed by complete resolution of the symptoms. The definitive diagnosis of a double-nidus osteoid osteoma was suggested after careful analysis of the initial radiographs demonstrated the existence of two distinct intracortical nidi.
根据患者病史及最初的X光片，怀疑右示指近节指骨存在骨样骨瘤。术后组织学检查证实了该诊断。然而，一年后，持续的症状和典型的影像学表现再次提示骨样骨瘤的存在。随后完整切除了第二个瘤巢，组织学检查再次证实为骨样骨瘤，术后症状完全缓解。在仔细分析最初的X光片显示存在两个不同的皮质内瘤巢后，提出了双瘤巢骨样骨瘤的明确诊断。
