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罕见部位的骨化性筋膜炎——一例报告及诊断陷阱分析

Ossifying fasciitis at an extraordinary site - a case report and analysis of diagnostic pitfalls.

作者信息

Kowalczyk Łukasz, Braun Marcin, Tomasik Bartłomiej, Piasecka Dominika, Michno Dominika, Fijuth Jacek, Jesionek-Kupnicka Dorota, Kordek Radzisław

机构信息

Department of Pathology, Chair of Oncology, Medical University of Lodz, Poland.

Department of Biostatistics and Translational Medicine, Medical University of Lodz, Poland.

出版信息

Contemp Oncol (Pozn). 2019;23(2):121-125. doi: 10.5114/wo.2019.85884. Epub 2019 Jun 13.

DOI:10.5114/wo.2019.85884
PMID:31316296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6630396/
Abstract

Ossifying fasciitis is a very rare disease of reactive character; however, it can mimic malignant lesions, especially osteosarcoma. We report a case of a 30-year-old woman, who experienced a rapidly growing painful lesion of the left knee joint, preceded by a trauma. The tumor was resected, and the histopathological image suggested a malignant lesion with features of an osteosarcoma. A detailed correlation with a clinicopathological and radiological analysis led to the final diagnosis of ossifying fasciitis at an extraordinary site of patellar retinaculum. Our case shows that the close similarity between ossifying fasciitis and osteosarcoma may be challenging.

摘要

骨化性筋膜炎是一种非常罕见的具有反应性特征的疾病;然而,它可能会模仿恶性病变,尤其是骨肉瘤。我们报告一例30岁女性病例,该患者在经历一次创伤后,左膝关节出现迅速生长的疼痛性病变。肿瘤被切除,组织病理学图像显示为具有骨肉瘤特征的恶性病变。通过临床病理和放射学分析的详细关联,最终诊断为髌支持带特殊部位的骨化性筋膜炎。我们的病例表明,骨化性筋膜炎与骨肉瘤之间的高度相似性可能具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc2/6630396/5d38fecb1143/WO-23-85884-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc2/6630396/ad0cca8cde1d/WO-23-85884-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc2/6630396/ece775358101/WO-23-85884-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc2/6630396/5d38fecb1143/WO-23-85884-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc2/6630396/ad0cca8cde1d/WO-23-85884-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc2/6630396/ece775358101/WO-23-85884-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc2/6630396/5d38fecb1143/WO-23-85884-g003.jpg

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Ossifying Fibromyxoid Tumor: An Update.骨化性纤维黏液样肿瘤:最新进展
Arch Pathol Lab Med. 2016 Apr;140(4):371-5. doi: 10.5858/arpa.2014-0590-RS.
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A spontaneously resolving breast lesion: imaging and cytological findings of nodular fasciitis of the breast with FISH showing USP6 gene rearrangement.一例自然消退的乳腺病变:乳腺结节性筋膜炎的影像学和细胞学表现及FISH检测显示USP6基因重排
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骨外骨肉瘤:一例病例报告及文献综述
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MRI characteristics of nodular fasciitis of the musculoskeletal system.肌肉骨骼系统结节性筋膜炎的 MRI 特征。
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Extraskeletal osteosarcoma arising in anterior mediastinum: brief report with a review of the literature.前纵隔发生的骨外骨肉瘤:病例报告并文献复习
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Pseudosarcomas of soft tissue.软组织假肉瘤
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Fasciitis ossificans with a radial neuropathy: a benign differential diagnosis for soft tissue sarcoma.伴有桡神经病变的骨化性筋膜炎:软组织肉瘤的一种良性鉴别诊断
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Extraskeletal osteosarcoma has a favourable prognosis when treated like conventional osteosarcoma.当按照传统骨肉瘤进行治疗时,骨外骨肉瘤的预后良好。
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