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一名8岁女孩手指的甲下外生骨疣。

Subungual exostosis of the finger in an 8-year-old girl.

作者信息

Li Hao, Qi Xinyu, Zhang Xuejun

机构信息

Department of Orthopaedics Beijing Children's Hospital Capital Medical University Beijing China.

出版信息

Pediatr Investig. 2020 Dec 28;4(4):292-295. doi: 10.1002/ped4.12234. eCollection 2020 Dec.

DOI:10.1002/ped4.12234
PMID:33376957
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7768296/
Abstract

INTRODUCTION

Subungual exostosis (SE) is a relatively uncommon benign bone tumor that occurs in the distal phalanges of the toes or fingers.

CASE PRESENTATION

An 8-year-old girl presented for treatment of an acquired mass on the distal right index finger. The patient was preoperatively diagnosed with a benign bone tumor. Surgical resection of the distal right index finger mass was performed under general anesthesia, and histological examination of the resected tissue supported a diagnosis of SE of the right index finger. The surgical outcome was good, with no surgical site infection. Throughout 15 months of follow-up, the patient was asymptomatic with no recurrence.

CONCLUSION

Surgical resection of a mass on the distal right index finger resulted in absence of recurrence during 15 months of follow-up. SE is a benign and uncommon lesion that is infrequently encountered by physicians. This infrequent occurrence may result in delays in diagnosis and treatment. Complete excision of the lesion and careful separation from underlying nail bed structures results in total resolution of the lesion, while providing the lowest risk of recurrence.

摘要

引言

甲下外生骨疣(SE)是一种相对罕见的良性骨肿瘤,发生于脚趾或手指的远端指骨。

病例报告

一名8岁女孩因右手示指远端出现后天性肿物前来治疗。患者术前被诊断为良性骨肿瘤。在全身麻醉下对右手示指远端肿物进行了手术切除,切除组织的组织学检查支持右手示指SE的诊断。手术效果良好,无手术部位感染。在15个月的随访期间,患者无症状且无复发。

结论

对右手示指远端肿物进行手术切除,在15个月的随访期间未出现复发。SE是一种良性且罕见的病变,医生很少遇到。这种罕见情况可能导致诊断和治疗延迟。病变的完整切除以及与下方甲床结构的仔细分离可使病变完全消退,同时复发风险最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7a/7768296/283454b8f665/PED4-4-292-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7a/7768296/095d08d468c0/PED4-4-292-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7a/7768296/8c250ae8a72b/PED4-4-292-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7a/7768296/283454b8f665/PED4-4-292-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7a/7768296/095d08d468c0/PED4-4-292-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7a/7768296/8c250ae8a72b/PED4-4-292-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7a/7768296/283454b8f665/PED4-4-292-g003.jpg

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引用本文的文献

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Subungual Exostosis of the Hand: A Case Report in a 5-Year-Old Boy and Literature Review.手部甲下外生骨疣:一例 5 岁男童病例报告及文献复习。
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本文引用的文献

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Subungual exostosis in an 8-year-old child: clinical and dermoscopic description.一名8岁儿童的甲下外生骨疣:临床及皮肤镜描述
An Bras Dermatol. 2019 Mar-Apr;94(2):233-235. doi: 10.1590/abd1806-4841.20197995. Epub 2019 May 9.
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Subungual Exostosis - Clinical, Radiological, and Histological Findings.甲下外生骨疣——临床、影像学及组织学表现
Indian Dermatol Online J. 2019 Mar-Apr;10(2):202-203. doi: 10.4103/idoj.IDOJ_104_18.
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Dermoscopic features of subungual exostosis.甲下外生骨疣的皮肤镜特征。
Australas J Dermatol. 2019 May;60(2):e138-e141. doi: 10.1111/ajd.12911. Epub 2018 Sep 5.
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Subungual Exostosis .甲下外生骨疣
J Am Podiatr Med Assoc. 2018 Jul;108(4):320-333. doi: 10.7547/17-102.
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Subungual exostosis with postoperative recurrence followed by spontaneous regression.甲下外生骨疣术后复发并随后自发消退。
J Dermatol. 2019 Mar;46(3):e86-e87. doi: 10.1111/1346-8138.14600. Epub 2018 Aug 17.
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Subungual Exostosis in a Young Soccer Player.一名年轻足球运动员的甲下外生骨疣
Open Access Maced J Med Sci. 2017 Dec 30;6(1):52-54. doi: 10.3889/oamjms.2018.002. eCollection 2018 Jan 25.
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Subungual exostosis on index finger in a child.一名儿童食指的甲下外生骨疣。
Indian J Dermatol Venereol Leprol. 2018;84(2):232-233. doi: 10.4103/ijdvl.IJDVL_492_17.
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Dermoscopy of Subungual Exostosis: A Retrospective Study of 10 Patients.甲下外生骨疣的皮肤镜检查:10例患者的回顾性研究
Dermatology. 2017;233(1):80-85. doi: 10.1159/000471800. Epub 2017 May 9.
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Subungual exostosis.甲下外生骨疣
Cutis. 2016 Aug;98(2):128-9.
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Dystrophy of the Great Toenail by Subungual Exostosis and Hyperostosis: Three Case Reports with Different Clinical Presentations.甲下外生骨疣和骨质增生导致的拇趾趾甲营养不良:三例不同临床表现的病例报告
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