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骨软骨脂肪瘤和脂肪瘤的治疗方法相同吗?病例报告及胸壁骨软骨脂肪瘤的文献综述。

Is the treatment for osteochondrolipomas and lipomas the same? Case report and review of the literature on osteochondrolipoma of chest wall.

作者信息

İncekara Funda, Fındık Göktürk, Kılıç Nevzat, Özaydın Esra, Nomenoğlu Hakan

机构信息

Department of Thoracic Surgery, Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey.

Department of Pathology, Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Apr 22;28(2):399-403. doi: 10.5606/tgkdc.dergisi.2020.18345. eCollection 2019 Jun.

Abstract

Lipomas containing bony and chondroid areas are called osteochondrolipomas. Osteochondrolipomas are extremely rare and their treatment is not known exactly. In this article, we report a 41-year-old male patient who had a 45 mm long subcutaneous mass in the chest wall which was detected 15 years before. When the mass started to grow recently, the patient was admitted to our hospital. Total excision was performed to the mass of the chest wall. According to the histopathological examination of the material, the lesion was an osteochondrolipoma. It might be challenging to diagnose such rare osteochondrolipomas in the tru-cut or small biopsy specimens. Differential diagnosis may be challenging clinically, radiologically, and histopathologically. To our knowledge, this is the fifth case of a totally excised osteochondrolipoma of the chest wall which was reported in the literature.

摘要

含有骨和软骨样区域的脂肪瘤被称为骨软骨脂肪瘤。骨软骨脂肪瘤极为罕见,其治疗方法尚不完全明确。在本文中,我们报告了一名41岁男性患者,其胸壁有一个45毫米长的皮下肿块,该肿块于15年前被发现。当肿块最近开始生长时,患者入住我院。对胸壁肿块进行了完整切除。根据该标本的组织病理学检查,病变为骨软骨脂肪瘤。在粗针穿刺活检或小活检标本中诊断此类罕见的骨软骨脂肪瘤可能具有挑战性。在临床、放射学和组织病理学方面,鉴别诊断可能都具有挑战性。据我们所知,这是文献中报道的第五例胸壁骨软骨脂肪瘤完整切除病例。

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