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[颅骨嗜酸性肉芽肿:一例报告及文献复习]

[Eosinophilic granuloma of cranial location: report of a case and bibliographic review].

作者信息

Ramon Y Cajal Calvo Juan, Alvarez Arranz Enrique, Zamora Lozano Marta

机构信息

Hospital Clinico Universitario Lozano Blesa. Zaragoza. España.

Servicio Radiodiagnóstico. Hospital Clinico Universitario Lozano Blesa.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2021 Mar 12;78(1):48-51. doi: 10.31053/1853.0605.v78.n1.30451.

Abstract

INTRODUCTION

Eosinophilic granuloma is an unusual benign disease that usually affects the pediatric population and young adults. It is the most benign of the diseases traditionally known as histiocytosis X that are now called Langerhans cell histiocytosis.

CLINICAL CASE

Pediatric patient with a painful lump in the temporal region. The imaging tests carried out reveal the existence of an osteolytic lesion with an aggressive pattern compatible with eosinophilic granuloma. The patient underwent surgery with a conclusive definitive histological diagnosis of eosinophilic granuloma.

DISCUSSION

Eosinophilic granuloma can affect one or multiple bones, of which the most frequent are the cranial bones, epiphyses of long bones and ribs, requiring individualized diagnosis and treatment strategies for optimal management and results, with surgical treatment of First choice.

CONCLUSION

Eosinophilic granuloma is an infrequent benign condition that requires a correct anamnesis and clinical examination of the patient, as well as the demonstration of the characteristic radiological images, allowing a generally accurate presumptive diagnosis to be reached that in most cases can be considered definitive.

摘要

引言

嗜酸性肉芽肿是一种罕见的良性疾病,通常影响儿童和年轻人。它是传统上称为组织细胞增多症X(现称为朗格汉斯细胞组织细胞增多症)中最良性的疾病。

临床病例

一名儿科患者颞部出现疼痛性肿块。所进行的影像学检查显示存在一个溶骨性病变,其侵袭性模式与嗜酸性肉芽肿相符。该患者接受了手术,最终组织学诊断为嗜酸性肉芽肿。

讨论

嗜酸性肉芽肿可累及一块或多块骨骼,其中最常见的是颅骨、长骨骨骺和肋骨,需要个体化的诊断和治疗策略以实现最佳管理和效果,手术治疗是首选。

结论

嗜酸性肉芽肿是一种罕见的良性疾病,需要对患者进行正确的病史采集和临床检查,并展示特征性的放射影像,从而做出通常准确的推测性诊断,在大多数情况下可视为确定性诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/218e/8713377/d164e04146d7/1853-0605-78-1-48-g001.jpg

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