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起源于第一肋骨的动脉瘤样骨囊肿:胸廓出口综合征的罕见病因。

Aneurysmal Bone Cyst Arising from the First Rib: A Rare Cause of Thoracic Outlet Syndrome.

作者信息

Medina Manuel, Paul Subroto

机构信息

Department of Surgery, New York Presbyterian/Queens, Flushing, New York, United States.

Department of Cardiothoracic Surgery, New York Presbyterian Hospital, New York, New York, United States.

出版信息

Thorac Cardiovasc Surg Rep. 2016 Dec;5(1):74-76. doi: 10.1055/s-0035-1569994. Epub 2015 Dec 16.

DOI:10.1055/s-0035-1569994
PMID:28018833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5177442/
Abstract

Aneurysmal bone cyst is a rare benign cystic bone lesion with an incidence of only 0.14 per 100,000 individuals and most commonly affects the metaphyses of long bones, spine, and pelvis. We present a very rare case of a 17-year-old boy with a rapidly expanding aneurysmal bone cyst arising from the first rib, resulting in neurogenic thoracic outlet syndrome secondary to its compression of the brachial plexus. The patient's symptoms resolved after en bloc resection. To our knowledge there have been no other reports in the literature of thoracic outlet syndrome due to aneurysmal bone cyst arising from the first rib.

摘要

动脉瘤样骨囊肿是一种罕见的良性囊性骨病变,发病率仅为每10万人中0.14例,最常累及长骨的干骺端、脊柱和骨盆。我们报告了一例非常罕见的病例,一名17岁男孩,其第一肋骨出现快速增大的动脉瘤样骨囊肿,由于压迫臂丛神经导致神经源性胸廓出口综合征。患者在整块切除术后症状缓解。据我们所知,文献中尚无其他关于第一肋骨动脉瘤样骨囊肿导致胸廓出口综合征的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb4/5177442/bce316fecbc3/10-1055-s-0035-1569994-i150197crt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb4/5177442/5c864cff4b5b/10-1055-s-0035-1569994-i150197crt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb4/5177442/bce316fecbc3/10-1055-s-0035-1569994-i150197crt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb4/5177442/5c864cff4b5b/10-1055-s-0035-1569994-i150197crt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb4/5177442/bce316fecbc3/10-1055-s-0035-1569994-i150197crt-2.jpg

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引用本文的文献

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本文引用的文献

1
Current treatments of primary aneurysmal bone cysts.原发性动脉瘤样骨囊肿的当前治疗方法。
J Pediatr Orthop B. 2006 May;15(3):155-67. doi: 10.1097/01.bpb.0000210588.50899.29.
2
Benign primary tumours of the ribs.肋骨原发性良性肿瘤
Clin Radiol. 2006 Apr;61(4):314-22. doi: 10.1016/j.crad.2005.12.005.
3
Epidemiology of aneurysmal bone cyst in children: a multicenter study and literature review.儿童动脉瘤样骨囊肿的流行病学:一项多中心研究及文献综述
J Pediatr Orthop B. 2004 Nov;13(6):389-94. doi: 10.1097/01202412-200411000-00008.
4
Etiology of neurogenic thoracic outlet syndrome.神经源性胸廓出口综合征的病因
Hand Clin. 2004 Feb;20(1):17-22. doi: 10.1016/s0749-0712(03)00112-4.
5
Aneurysmal bone cyst. A population based epidemiologic study and literature review.动脉瘤样骨囊肿。一项基于人群的流行病学研究及文献综述。
Clin Orthop Relat Res. 1999 Jun(363):176-9.