Xue Wen, Wang Zeng-Ping, Guan Xiao-Li, Liu Lin, Qian Yao-Wen
Department of Orthopeadics, Gansu Provincial Hospital, Lanzhou 730000, Gansu, China;
Department of Orthopeadics, Gansu Provincial Hospital, Lanzhou 730000, Gansu, China.
Zhongguo Gu Shang. 2017 Mar 25;30(3):279-281. doi: 10.3969/j.issn.1003-0034.2017.03.019.
To investigate the diagnostic and therapeutic procedures of intraosseous lipoma.
From June 1986 to January 2016, 19 patients with intraosseous lipoma were treated including 12 males and 7 females, aged from 24 to 76 years, a predilection aged was from 40 to 50 years in 13 cases. Symptoms presented with pain or swelling in 15 patients, the lesions were found incidentally in 3 patients, another case was bone defect lipoma replacement after curettage of bone cyst for 4 years. On plain X-ray flims of all bones showed a well-circumscribed radiolucent area. Diagnosis was established with CT or MRI. Among them, 16 cases were treated by surgical operation, 3 cases were treated by concervative treatment. All patients' clinical data, histologic findings and X-ray, CT and MRI were analysed.
Total 19 patients were followed up from 9 to 42 months with an average of 15 months. There was no local tumor recurrence in 16 patients after excising the tumors, the remaining 3 patients showed no enlargement of the lesion.
Surgical intervention is considered as an unnecessary in the patients diagnosied intraosseous lipoma by MRI or CT. Patients with symptomatic should adopt surgical treatment with curettage and bone grafting.
探讨骨内脂肪瘤的诊断与治疗方法。
1986年6月至2016年1月，共治疗19例骨内脂肪瘤患者，其中男性12例，女性7例，年龄24至76岁，13例患者好发年龄在40至50岁。15例患者表现为疼痛或肿胀，3例患者病变为偶然发现，另1例为骨囊肿刮除术后4年出现骨缺损性脂肪瘤替代。所有患者的骨骼平片均显示边界清晰的透光区。通过CT或MRI确诊。其中16例行手术治疗，3例行保守治疗。分析所有患者的临床资料、组织学检查结果以及X线、CT和MRI表现。
19例患者均获随访，随访时间9至42个月，平均15个月。16例患者肿瘤切除后无局部肿瘤复发，其余3例患者病变未增大。
对于经MRI或CT诊断为骨内脂肪瘤的患者，手术干预并非必要。有症状的患者应采用刮除植骨的手术治疗。
