嵌入腕骨的腱鞘纤维瘤酷似腕骨内生软骨瘤：一例报告。
Fibroma of tendon sheath embedded in carpal bones mimicking carpal enchondroma: A case report.
作者信息
Fu Zhuo, Liu Jianfeng, Huang Dongxu, Jia Xiaoyan, Liu Zhigang, Liu Bin
机构信息
Department of Hand and Foot Surgery, The First Hospital of Jilin University.
Jilin Province Key Laboratory on Tissue Repair, Reconstruction and Regeneration, Changchun, Jilin, China.
出版信息
Medicine (Baltimore). 2019 Apr;98(16):e15262. doi: 10.1097/MD.0000000000015262.
RATIONALE
Fibroma of tendon sheath is a rare entity that is typically attached to the tendon sheath.
PATIENT CONCERNS
A 43-year-old man presented with a painful mass in his right wrist, which was initially misdiagnosed as an enchondroma.
DIAGNOSIS
Fibroma embedded into carpal bones, which exhibited lytic radiographic features similar to those of enchondroma. Excisional biopsy demonstrated spindle-shaped cells and collagen-like stroma.
INTERVENTIONS
The patient underwent lesion resection surgery.
OUTCOMES
The patient recovered well and showed no signs of recurrence at 6-month follow-up.
LESSONS
This case provides valuable insights for hand surgeons. While radiograph is helpful in multiple diseases, histological examination is indispensable for establishment of final diagnosis.
理论依据
腱鞘纤维瘤是一种罕见的病变，通常附着于腱鞘。
患者情况
一名43岁男性因右腕部疼痛性肿块就诊，最初被误诊为内生软骨瘤。
诊断
嵌入腕骨的纤维瘤，其X线表现为溶骨性，与内生软骨瘤相似。切除活检显示梭形细胞和胶原样基质。
干预措施
患者接受了病变切除手术。
结果
患者恢复良好，6个月随访时无复发迹象。
经验教训
该病例为手外科医生提供了有价值的见解。虽然X线对多种疾病有帮助，但组织学检查对于最终诊断的确立是必不可少的。
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