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髋臼顶骨样骨瘤:一例报告

Osteoid osteoma of the acetabular roof: a case report.

作者信息

Benyass Youssef, Chafry Bouchaib, Koufagued Kaldadak, Chagar Belkacem

机构信息

Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- Souissi, Rabat, Morocco.

出版信息

J Med Case Rep. 2016 Aug 24;10(1):232. doi: 10.1186/s13256-016-1016-2.

Abstract

BACKGROUND

An acetabular location of osteoid osteoma is rare and represents less than 1 % of cases. The purpose of this clinical case report is to highlight the unusual location of osteoid osteoma and the technical difficulty of its removal.

CASE PRESENTATION

We report a case of a 17-year-old Moroccan Arab boy who presented with pain in his right hip with lameness. The diagnosis of osteoid osteoma was made by imagery and confirmed by histological examination. The treatment consisted of a complete percutaneous resection scanno-guided of the nidus. The evolution was marked by complete healing with total and definitive disappearance of symptoms after 1 year.

CONCLUSIONS

Osteoid osteoma of the acetabular roof is rare. The diagnosis is now easy because of the evolution of imaging. Treatment is exclusively surgical. Complete resection guarantees the absence of recurrence. The difficulty of the surgical procedure is due to the deep localization of the osteoid osteoma and because it is endosseous, it is also dangerous due to anatomical relationships and the small size of the osteoid osteoma.

摘要

背景

骨样骨瘤位于髋臼的情况罕见,占病例不到1%。本临床病例报告的目的是强调骨样骨瘤不寻常的位置及其切除的技术难度。

病例介绍

我们报告一例17岁摩洛哥阿拉伯男孩,表现为右髋疼痛伴跛行。通过影像学诊断为骨样骨瘤,并经组织学检查证实。治疗包括在扫描引导下经皮完全切除瘤巢。病程以1年后完全愈合且症状完全、彻底消失为特征。

结论

髋臼顶骨样骨瘤罕见。由于影像学的发展,目前诊断容易。治疗完全依靠手术。完整切除可确保不复发。手术操作的难度在于骨样骨瘤位置深,且因其位于骨内,由于解剖关系和骨样骨瘤体积小,手术也有风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e9e/4995670/fcef442831a2/13256_2016_1016_Fig1_HTML.jpg

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