颞骨软骨黏液样纤维瘤：一例报告并文献复习

Chondromyxoid fibroma of the temporal bone: A case report and review of the literature.

作者信息

Zheng Ying-Mei, Wang He-Xiang, Dong Cheng

机构信息

Health Examination Center, the Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.

Department of Radiology, the Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.

出版信息

World J Clin Cases. 2018 Dec 26;6(16):1210-1216. doi: 10.12998/wjcc.v6.i16.1210.

DOI:10.12998/wjcc.v6.i16.1210

PMID:30613685

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6306630/

Abstract

BACKGROUND

Chondromyxoid fibroma (CMF) is a rare benign bone tumour of cartilaginous origin, which usually affects the metaphysis of the long bone. Involvement of the temporal bone is extremely rare. Patients with CMF in the temporal bone can present some neurological deficits due to involvement of surrounding neural structures.

CASE SUMMARY

We present the first case of histopathologically proven CMF originating in the temporal bone and involving the hypoglossal canal in a 40-year-old woman. Hypoglossal nerve paralysis was identified on the cranial nerve examination. The patient underwent surgical excision and was neurologically normal except for mild left facial palsy on 5-mo follow-up examination after surgery. In the current report, the major characteristics and computed tomography/magnetic resonance imaging features of the lesion are discussed. Furthermore, previous literature regarding this pathology is reviewed.

CONCLUSION

The current study presents the first case of temporal bone CMF involving the hypoglossal canal.

摘要

背景

软骨黏液样纤维瘤（CMF）是一种罕见的起源于软骨的良性骨肿瘤，通常累及长骨的干骺端。颞骨受累极为罕见。颞骨CMF患者由于周围神经结构受累可出现一些神经功能缺损。

病例摘要

我们报告了首例经组织病理学证实起源于颞骨并累及舌下神经管的CMF病例，患者为一名40岁女性。在颅神经检查中发现舌下神经麻痹。患者接受了手术切除，术后5个月的随访检查显示，除轻度左侧面神经麻痹外，神经功能正常。在本报告中，讨论了病变的主要特征以及计算机断层扫描/磁共振成像特征。此外，还回顾了以往关于该病理学的文献。