Depeyre A, Brygo A, Leroy X, Gryselein R, Ferri J
Service de chirurgie maxillofaciale et stomatologie, hôpital Salengro, CHRU de Lille, avenue Émile-Laine, 59037 Lille cedex, France; Service de chirurgie maxillofaciale et stomatologie, hôpital Estaing, CHU de Clermont-Ferrand, 1, place Lucie-Aubrac, 63003 Clermont-Ferrand cedex 1, France.
Service de chirurgie maxillofaciale et stomatologie, hôpital Salengro, CHRU de Lille, avenue Émile-Laine, 59037 Lille cedex, France.
Rev Stomatol Chir Maxillofac Chir Orale. 2016 Dec;117(6):442-445. doi: 10.1016/j.revsto.2016.06.005. Epub 2016 Aug 9.
Osteoid osteoma is a benign osseous tumor affecting mainly young men. Although it develops essentially in long bones, some cases occurring in face, mainly in mandible, were related. To our knowledge, only one single case was described in zygomatic bone.
A 71-year-old man consulted for a right periorbital pain evolving since months with night recrudescence. The pain was not relieved by standard analgesics. Clinical examination was strictly normal. CT scan showed a low-density bone lesion surrounded by a peripheral osseocondensation line within the body of the right zygoma with intense uptake at bone scintigraphy. The patient benefited from surgical excision of the lesion. Pain stopped immediately. Histological examination assessed an osteoid osteoma.
Zygomatic localization and late occurrence are rare concerning osteoid osteomas. Many ways of management have been reported but surgical excision remains the gold standard.
骨样骨瘤是一种主要影响年轻男性的良性骨肿瘤。虽然它主要发生在长骨，但也有一些发生在面部的病例，主要是下颌骨。据我们所知，仅有一例发生在颧骨。
一名71岁男性因数月来右眶周疼痛且夜间加重前来就诊。标准镇痛药无法缓解疼痛。临床检查完全正常。CT扫描显示右侧颧骨体内有一个低密度骨病变，周围有一条骨致密线，骨闪烁显像显示有强烈摄取。患者接受了病变的手术切除。疼痛立即停止。组织学检查确诊为骨样骨瘤。
骨样骨瘤发生在颧骨且发病较晚的情况较为罕见。已经报道了多种治疗方法，但手术切除仍然是金标准。
