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脂肪硬化性黏液纤维瘤:一种罕见的股骨近端肿瘤。

Liposclerosing myxofibrous tumor: a rare tumor of proximal femur.

作者信息

Beytemür Ozan, Tetikkurt Ümit Seza, Albay Cem, Kavşut Gonca, Güleç Akif

机构信息

Department of Orthopedics and Traumatology, Health Sciences University, Bağcılar Training and Research Hospital, 34200 Bağcılar, İstanbul, Turkey.

出版信息

Eklem Hastalik Cerrahisi. 2017 Dec;28(3):210-3. doi: 10.5606/ehc.2017.48394.

Abstract

Liposclerosing myxofibrous tumor is a very rarely observed benign fibro-osseous lesion, which contains complex histological structures. It was first described in the year 1986. Histopathological examination of the lesion may show myxoid areas, osteoclastic activity, bone trabeculae similar to fibrous dysplasia, fat necrosis, ischemic ossification and rarely cartilage components. This lesion, which is particularly localized to the proximal femur, is thought to be associated with fibrous dysplasia. In this case report, we aim to present a liposclerosing myxofibrous tumor case, which was treated surgically, in light of the literature review. The patient who was treated with curettage, grafting and 95-degree dynamic condylar screw-plate system was asymptomatic at the 16th month control and recurrence was not detected.

摘要

脂肪硬化性黏液纤维瘤是一种非常罕见的良性纤维骨性病变,具有复杂的组织学结构。它于1986年首次被描述。该病变的组织病理学检查可能显示黏液样区域、破骨细胞活性、类似于骨纤维异常增殖症的骨小梁、脂肪坏死、缺血性骨化,很少有软骨成分。这种病变特别好发于股骨近端,被认为与骨纤维异常增殖症有关。在本病例报告中,我们旨在结合文献复习,呈现一例经手术治疗的脂肪硬化性黏液纤维瘤病例。接受刮除、植骨及95度动力髁螺钉钢板系统治疗的患者在第16个月复查时无症状,未发现复发。

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