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骨干骺端离断症的影像学更新。

An update on the imaging of diaphyseal aclasis.

机构信息

Department of Radiology, London North West University Healthcare NHS Trust, London, UK.

Department of Histopathology, Royal National Orthopaedic Hospital, Stanmore, UK.

出版信息

Skeletal Radiol. 2021 Oct;50(10):1941-1962. doi: 10.1007/s00256-021-03770-3. Epub 2021 Apr 1.

DOI:10.1007/s00256-021-03770-3
PMID:33791832
Abstract

Solitary osteochondromas are common, benign hyaline cartilage-capped exostoses that primarily arise from the metaphyses of long and flat bones. Diaphyseal aclasis is an autosomal dominant condition resulting from EXT1 or EXT2 gene mutations and is characterized by multifocal osteochondromas. These can result in a wide spectrum of complications, such as skeletal deformity, neurological and vascular complications, adventitial bursa formation, fracture, and rarely malignant transformation to peripheral chondrosarcoma. In this review, we outline in detail the multimodality imaging features of DA and its associated complications.

摘要

孤立性骨软骨瘤很常见,是良性透明软骨帽外生骨疣,主要起源于长骨和平骨的干骺端。骨干骺端发育不良是一种常染色体显性遗传病,由 EXT1 或 EXT2 基因突变引起,其特征是多灶性骨软骨瘤。这些可导致广泛的并发症,如骨骼畸形、神经和血管并发症、腱膜下囊形成、骨折,极少数情况下恶变为外周软骨肉瘤。在这篇综述中,我们详细概述了 DA 的多模态影像学特征及其相关并发症。

相似文献

1
An update on the imaging of diaphyseal aclasis.骨干骺端离断症的影像学更新。
Skeletal Radiol. 2021 Oct;50(10):1941-1962. doi: 10.1007/s00256-021-03770-3. Epub 2021 Apr 1.
2
Sarcomatous transformation in diaphyseal aclasis.骨干性骨软骨瘤的肉瘤样变
Australas Radiol. 2007 Apr;51(2):110-9. doi: 10.1111/j.1440-1673.2007.01679.x.
3
Osteochondromas: review of the clinical, radiological and pathological features.骨软骨瘤:临床、放射学及病理学特征综述
In Vivo. 2008 Sep-Oct;22(5):633-46.
4
Secondary peripheral chondrosarcoma evolving from osteochondroma as a result of outgrowth of cells with functional EXT.继发于骨软骨瘤的外周性软骨肉瘤,是由于具有功能 EXT 的细胞向外生长而引起的。
Oncogene. 2012 Mar 1;31(9):1095-104. doi: 10.1038/onc.2011.311. Epub 2011 Aug 1.
5
Multimodality imaging features of hereditary multiple exostoses.遗传性多发性外生骨疣的多模态影像学特征。
Br J Radiol. 2013 Oct;86(1030):20130398. doi: 10.1259/bjr.20130398. Epub 2013 Sep 4.
6
Hereditary Multiple Osteochondromas遗传性多发性骨软骨瘤
7
Craniomaxillofacial features in hereditary multiple exostosis.遗传性多发性骨软骨瘤的颅颌面特征
J Craniofac Surg. 2012 Jul;23(4):e336-8. doi: 10.1097/SCS.0b013e3182564aa0.
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An unusual example of hereditary multiple exostoses: a case report and review of the literature.遗传性多发性外生骨疣的一个不寻常病例报告:病例报告及文献复习。
BMC Musculoskelet Disord. 2021 Jan 21;22(1):96. doi: 10.1186/s12891-021-03967-6.
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Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation.骨软骨瘤的影像学表现:变异与并发症的影像学-病理学对照
Radiographics. 2000 Sep-Oct;20(5):1407-34. doi: 10.1148/radiographics.20.5.g00se171407.
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Decreased EXT expression and intracellular accumulation of heparan sulphate proteoglycan in osteochondromas and peripheral chondrosarcomas.骨软骨瘤和外周软骨肉瘤中EXT表达降低及硫酸乙酰肝素蛋白聚糖的细胞内积聚。
J Pathol. 2007 Mar;211(4):399-409. doi: 10.1002/path.2127.

引用本文的文献

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Hereditary multiple exostoses: an educational review.遗传性多发性骨软骨瘤:一篇教育性综述。
Insights Imaging. 2025 Feb 21;16(1):46. doi: 10.1186/s13244-025-01899-6.

本文引用的文献

1
Quantitative bone SPECT/CT applications for cartilaginous bone neoplasms.定量骨SPECT/CT在软骨性骨肿瘤中的应用
Hell J Nucl Med. 2020 May-Aug;23(2):133-137. doi: 10.1967/s002449912102. Epub 2020 Jul 27.
2
Multiple hereditary exostoses and enchondromatosis.多发性遗传性外生骨疣和软骨瘤病。
Best Pract Res Clin Rheumatol. 2020 Jun;34(3):101505. doi: 10.1016/j.berh.2020.101505. Epub 2020 Apr 4.
3
Coronal malalignment of lower legs depending on the locations of the exostoses in patients with multiple hereditary exostoses.
多发性遗传性外生骨疣患者的外生骨疣位置与下肢冠状面对线不良的关系。
BMC Musculoskelet Disord. 2019 Nov 25;20(1):564. doi: 10.1186/s12891-019-2912-6.
4
Late presentation of spinal cord compression in hereditary multiple exostosis: case reports and review of the literature.遗传性多发性骨软骨瘤脊髓压迫症的迟发性表现:病例报告及文献综述
J Child Orthop. 2019 Oct 1;13(5):463-470. doi: 10.1302/1863-2548.13.180130.
5
Whole-body MRI of bone marrow: A review.全身骨髓 MRI:综述。
J Magn Reson Imaging. 2019 Dec;50(6):1687-1701. doi: 10.1002/jmri.26759. Epub 2019 Apr 23.
6
Can 18F-FDG PET/CT diagnose malignant change in benign chondroid tumors?18F-FDG PET/CT能否诊断良性软骨样肿瘤的恶变?
Nucl Med Commun. 2019 Jun;40(6):645-651. doi: 10.1097/MNM.0000000000001015.
7
Chondrosarcoma transformation in hereditary multiple exostoses: A systematic review and clinical and cost-effectiveness of a proposed screening model.遗传性多发性骨软骨瘤中的软骨肉瘤转变:一项系统评价及一种拟议筛查模型的临床与成本效益分析
J Bone Oncol. 2018 Oct 4;13:114-122. doi: 10.1016/j.jbo.2018.09.011. eCollection 2018 Nov.
8
Concomitant neurogenic and vascular thoracic outlet syndrome due to multiple exostoses.多发性外生骨疣所致的合并神经源性和血管性胸廓出口综合征
Ann Card Anaesth. 2018 Jan-Mar;21(1):71-73. doi: 10.4103/aca.ACA_119_17.
9
Is Routine Spine MRI Necessary in Skeletally Immature Patients With MHE? Identifying Patients at Risk for Spinal Osteochondromas.对于患有MHE的骨骼未成熟患者,常规脊柱MRI检查是否必要?识别有脊柱骨软骨瘤风险的患者。
J Pediatr Orthop. 2019 Feb;39(2):e147-e152. doi: 10.1097/BPO.0000000000001084.
10
Popliteal artery pseudoaneurysm due to femur exostosis.股骨外生骨疣导致腘动脉假性动脉瘤。
Asian Cardiovasc Thorac Ann. 2019 Jan;27(1):39-41. doi: 10.1177/0218492317703837. Epub 2017 Mar 28.