Liu S S, White W L, Johnson P C, Gauntt C
Division of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona.
J Neurosurg. 1988 Oct;69(4):624-7. doi: 10.3171/jns.1988.69.4.0624.
Hemophilic pseudotumor is an uncommon complication among hemophiliacs. Most of these lesions are located in the long bones and the pelvis. The authors describe a case of hemophilic pseudotumor in a patient who presented with symptoms of L-5 radiculopathy and evidence of a destructive lesion on computerized tomography scans. Histologically, the lesion consisted of an organizing hematoma with reactive fibrosis. The diagnosis requires a high index of suspicion. Surgery is recommended for symptomatic patients.
血友病性假肿瘤是血友病患者中一种罕见的并发症。这些病变大多位于长骨和骨盆。作者描述了一例血友病性假肿瘤患者,该患者表现为L-5神经根病症状,计算机断层扫描显示有破坏性病变。组织学上,病变由机化的血肿和反应性纤维化组成。诊断需要高度怀疑。建议对有症状的患者进行手术。