Tecualt-Gómez Romeo, Atencio-Chan Adriana, Gutiérrez-Salmeán Gabriela
Department of Orthopaedic Surgery, Bone and Soft Tissue Orthopedic Surgeon, Angeles Lindavista Hospital, CDMX. 07760. Mexico.
Department of Orthopaedic Surgery, Private General and Orthopedic Pathologist, Bamba River 745. Lindavista. CDMX. Mexico.
J Orthop Case Rep. 2019 Jan-Feb;9(1):28-32. doi: 10.13107/jocr.2250-0685.1294.
Infrapatellar peripheral neural tumors, particularly neurofibromas, are rather rare entities reported in the literature. They are slow-growing lesions that usually do not exhibit clinical manifestations other than interspecific swelling or pain; hence, their diagnosis can be quite challenging. Therefore, scrutiny should include not only traditional clinical assessment and imaging but also more specific molecular biology techniques, such as immunohistochemistry.
We present the clinical, imaging, histological, and immunohistochemical features of a unique case of solitary neurofibromain a 33-year-old female presenting chronic anterior knee pain. The tumor was completely removed through a surgical approach.
Although cases of a solitary neurofibroma originating within Hoffa's fat pad are extremely rare; the entity should be considered in the differential diagnosis when symptomatology is not alleviated with appropriate treatments.
髌下周围神经肿瘤,尤其是神经纤维瘤,在文献中报道的病例相当罕见。它们是生长缓慢的病变,除了局限性肿胀或疼痛外,通常没有其他临床表现;因此,其诊断颇具挑战性。所以,仔细检查不仅应包括传统的临床评估和影像学检查,还应包括更具特异性的分子生物学技术,如免疫组织化学。
我们呈现了一名33岁女性慢性前膝痛患者的独特孤立性神经纤维瘤病例的临床、影像学、组织学和免疫组织化学特征。该肿瘤通过手术方法被完全切除。
尽管起源于Hoffa脂肪垫内的孤立性神经纤维瘤病例极为罕见;但在适当治疗后症状未缓解时,鉴别诊断中应考虑该疾病。