Yoshida Shinichirou, Watanuki Munenori, Hayashi Kouu, Hosaka Masami, Hagiwara Yoshihiro, Itoi Eiji, Hatori Masahito, Hitachi Shin, Watanabe Mika
Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Department of Orthopaedic Surgery, Tohoku Kosai Hospital, Sendai, Japan.
Rare Tumors. 2018 Nov 5;10:2036361318808852. doi: 10.1177/2036361318808852. eCollection 2018.
Osteofibrous dysplasia is a benign fibro-osseous lesion of bone which is most commonly occurred in cortical bone of anterior mid-shaft of the tibia of infancy and childhood. This study reported a case of osteofibrous dysplasia arising in the humerus of adult, resulting in good prognosis after a surgical treatment. A 34-year-old male had felt left upper arm pain and was suspected as having a bone tumor at the humeral shaft by X-ray pictures. The tumor was suspected as the osteofibrous dysplasia of the humerus by a core needle biopsy. Intralesional curettage, intraoperative anhydrous ethanol therapy, and artificial bone graft were performed. Surgical specimens showed fibro-osseous lesion, which strongly indicated osteofibrous dysplasia. Seven years after the surgery, he has lived without any local recurrence and complaints. It is important to recognize that osteofibrous dysplasia can arise in the humerus of an older patient for appropriate diagnosis.
骨纤维结构不良是一种骨的良性纤维-骨病变,最常见于婴幼儿及儿童期胫骨中轴前部的皮质骨。本研究报告了1例发生于成人肱骨的骨纤维结构不良病例,经手术治疗后预后良好。一名34岁男性感到左上臂疼痛,X线片怀疑肱骨骨干有骨肿瘤。经粗针活检怀疑该肿瘤为肱骨骨纤维结构不良。实施了病灶内刮除、术中无水乙醇治疗及人工骨移植。手术标本显示为纤维-骨病变,强烈提示骨纤维结构不良。术后7年,患者无任何局部复发及不适症状。认识到骨纤维结构不良可发生于老年患者的肱骨对于正确诊断很重要。