Jadidi Shaheen, D'Abarno Anthony, Barkley Jeanne F, Abusuwwa Raed F
Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, USA.
Miscellaneous, Chicago College of Osteopathic Medicine, Schaumburg, USA.
Cureus. 2018 Sep 24;10(9):e3353. doi: 10.7759/cureus.3353.
Giant cell tumors are rare benign lesions that typically occur at the epiphyses of long bones in the extremities and present with pain or swelling. These lesions very seldom occur in the skull, where they preferentially affect the sphenoid and temporal bones that develop by endochondral ossification. We report a rare case of a giant cell tumor of the frontal bone and review the literature on these lesions. A 21-year-old woman presented with localized swelling and tenderness over the left frontal bone. Imaging revealed a lytic lesion involving the left frontal bone, which was managed via left frontal craniectomy with resection of the bone and epidural mass. Histopathology revealed a giant cell tumor of bone (GCTB). Most data on giant cell tumors in the skull consist of case reports, with many large series of giant cell tumors having no examples in the skull. This report contributes to the scarce literature on these tumors in the skull.
骨巨细胞瘤是一种罕见的良性病变,通常发生于四肢长骨的骨骺部位,表现为疼痛或肿胀。这些病变极少发生于颅骨,在颅骨中它们更倾向于累及通过软骨内成骨发育而来的蝶骨和颞骨。我们报告一例罕见的额骨骨巨细胞瘤病例,并复习关于这些病变的文献。一名21岁女性患者出现左额骨局部肿胀和压痛。影像学检查显示左额骨有一溶骨性病变,通过左额开颅手术切除骨质及硬膜外肿物进行治疗。组织病理学检查显示为骨巨细胞瘤(GCTB)。关于颅骨骨巨细胞瘤的大多数数据都来自病例报告,许多大型骨巨细胞瘤系列研究中均无颅骨病例。本报告为有关颅骨这些肿瘤的稀少文献增添了内容。