多发性骨内脂肪瘤病：病例报告及文献复习。
Multiple Intraosseous Lipomatosis - A Case Report and a Review of the Literature.
机构信息
Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.
Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria;
出版信息
In Vivo. 2021 Mar-Apr;35(2):959-964. doi: 10.21873/invivo.12337.
BACKGROUND
Intraosseous lipomatosis is a rare and uncommon entity with only a few cases reported in the literature.
CASE REPORT
We report a severe case where post-traumatic radiographs showed multiple cystic osseous lesions and a pathological fracture. The findings were expanded with whole-body magnetic resonance imaging (MRI), which showed multiple osseous lesions with typical MRI characteristics of intraosseous lipomas.
CONCLUSION
Our case, together with very few other cases described in the literature, emphasizes that multiple intraosseous lipomatosis is an important differential diagnosis for multiple radiolucent lesions on plain radiographs. Multiple intraosseous lipomatosis can lead to pathological fractures and severe impairment of life quality. The presence of well-defined, osteolytic lesions in the bone calls for an MRI or computed tomography scan.
背景
骨内脂肪瘤病是一种罕见且不常见的疾病，文献中仅报道了少数几例。
病例报告
我们报告了一例严重的病例，创伤后的 X 光片显示多处囊性骨病变和病理性骨折。全身磁共振成像（MRI）检查结果显示多处骨病变，具有典型的骨内脂肪瘤的 MRI 特征。
结论
我们的病例以及文献中描述的极少数其他病例强调，多发性骨内脂肪瘤病是 X 线平片上多个透亮性病变的重要鉴别诊断。多发性骨内脂肪瘤病可导致病理性骨折和严重的生活质量受损。存在界限清楚的溶骨性病变时，需要进行 MRI 或 CT 扫描。
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