Kozlowski K, Azouz E M, Campbell J, Marton D, Morris L, Padovani J, Sprague P, Beluffi G, Berzero G F, Cherubino P
Department of Radiology, Royal Alexandra-Hospital for Children, Sydney, Australia.
Pediatr Radiol. 1988;18(2):140-8. doi: 10.1007/BF02387558.
Twenty-one primary bone tumours of the hand in children from 8 paediatric hospitals are reported. Osteochondromas and enchondromas were not included. Our material consisted of 16 patients with common tumours (3 Ewing's sarcoma, 5 aneurysmal bone cyst, 6 osteoid osteoma and 2 epidermoid cyst) and 5 patients with uncommon tumours (osteoma, simple bone cyst, haemangiopericytoma, capillary angiomatous tumour and benign ossifying fibroma or osteoblastoma). The X-ray diagnosis of the common tumours should have high concordance with histology, whereas that of uncommon tumours is much more difficult and uncertain. The characteristic features of Ewing's sarcoma are stressed as all our children with this tumour had a delayed diagnosis and a fatal outcome. Differential diagnosis with other short tubular bone lesions of the hand - specifically osteomyelitis - is discussed and the possibilities of microscopic diagnosis are stressed.
报告了来自8家儿科医院的21例儿童手部原发性骨肿瘤。骨软骨瘤和内生软骨瘤未包括在内。我们的资料包括16例常见肿瘤患者（3例尤因肉瘤、5例动脉瘤样骨囊肿、6例骨样骨瘤和2例表皮样囊肿）和5例罕见肿瘤患者（骨瘤、单纯性骨囊肿、血管外皮细胞瘤、毛细血管血管瘤性肿瘤以及良性骨化性纤维瘤或成骨细胞瘤）。常见肿瘤的X线诊断与组织学诊断应具有高度一致性，而罕见肿瘤的X线诊断则困难得多且具有不确定性。强调了尤因肉瘤的特征，因为我们所有患这种肿瘤的儿童均诊断延迟且预后不良。讨论了与手部其他短管状骨病变（特别是骨髓炎）的鉴别诊断，并强调了显微镜诊断的可能性。
