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骨盆骨膜软骨瘤——一个不寻常的部位。

Periosteal chondroma of pelvis - an unusual location.

作者信息

Motififard Mehdi, Hatami Saeed, Jamalipour Soufi Ghazaleh

机构信息

Associate Professor of Orthopaedics, Department of Orthopedic Surgery, School of Medicine, Kashani Hospital, Isfahan University of Medical Sciences Isfahan, Iran.

Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.

出版信息

Int J Burns Trauma. 2020 Aug 15;10(4):174-180. eCollection 2020.

Abstract

Periosteal chondroma is a slow growing benign tumor with prevalence rate of less than 2% of all chondromas. This tumor is mostly observed in clavicle, ribs and humerus and only one previous case has been reported in pelvis. Here we present an unusual case of periosteal chondroma due to uncommon presentation, location and age range. Our case is a 39 year-old male diagnosed with periosteal chondroma in pelvis. He had unspecific signs and symptoms overlapping with low back pain and disk herniation. By the time of admission he had gluteal muscle atrophy and also claudication. Differentiation of periosteal chondroma from other malignant tumors are pivotal in order to prevent aggressive and inappropriate therapies. He underwent surgical procedures and periosteal chondroma was ascertained by both radiological and Histopathological evidence. 6 months after surgery, he declared no pain, he was able to walk freely. He claimed partial paresthesia but he also declared that his paresthesia has ameliorated.

摘要

骨膜软骨瘤是一种生长缓慢的良性肿瘤,在所有软骨瘤中的患病率不到2%。这种肿瘤大多见于锁骨、肋骨和肱骨,此前仅有1例发生于骨盆的病例报道。在此,我们报告1例因表现、部位及年龄范围罕见而不寻常的骨膜软骨瘤病例。我们的病例是一名39岁男性,被诊断为骨盆骨膜软骨瘤。他有与腰痛和椎间盘突出症重叠的非特异性体征和症状。入院时他出现了臀肌萎缩及跛行。为避免激进和不恰当的治疗,鉴别骨膜软骨瘤与其他恶性肿瘤至关重要。他接受了手术,通过影像学和组织病理学证据确诊为骨膜软骨瘤。术后6个月,他称无疼痛,能够自由行走。他表示仍有部分感觉异常,但也说感觉异常已有所改善。

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