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脂肪与骨的肉瘤:一例报告

Sarcomas of fat and bone: a case report.

作者信息

Honnicke Miriam Beate, Tharun Lars, Sieren Malte Maria, Barkhausen Jörg

机构信息

Department of Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.

Institute of Pathology, University Hospital Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.

出版信息

Discov Oncol. 2022 Apr 6;13(1):22. doi: 10.1007/s12672-022-00484-3.

DOI:10.1007/s12672-022-00484-3
PMID:35384584
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8986924/
Abstract

Osteosarcomas are the most common primary malignant bone tumors and are classified by the WHO into several intramedullary and surface subtypes. One of these is the rare parosteal osteosarcoma. Liposarcomas are the second most common soft tissue sarcoma and are classified into several types ranging from intermediate to high grade tumors. In one of our recent patients we found an unusual combination of a parosteal osteosarcoma and a large fatty component, which fluorescence-in-situ-hybridization revealed as liposarcoma. Radiologists, pathologists, and surgeons should consider the possibility of bone and soft tissue malignancies consisting of different components, as this may be of paramount importance for oncologically complete resection.

摘要

骨肉瘤是最常见的原发性恶性骨肿瘤,世界卫生组织将其分为几种髓内和表面亚型。其中一种是罕见的骨旁骨肉瘤。脂肪肉瘤是第二常见的软组织肉瘤,分为几种类型,从中间级到高级别肿瘤。在我们最近的一名患者中,我们发现了骨旁骨肉瘤与大量脂肪成分的不寻常组合,荧光原位杂交显示为脂肪肉瘤。放射科医生、病理科医生和外科医生应考虑由不同成分组成的骨和软组织恶性肿瘤的可能性,因为这对于肿瘤学上的完整切除可能至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0e/8986924/cad6ffbb1c90/12672_2022_484_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0e/8986924/107aaaa41645/12672_2022_484_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0e/8986924/ceb888442211/12672_2022_484_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0e/8986924/ca257c57555a/12672_2022_484_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0e/8986924/cad6ffbb1c90/12672_2022_484_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0e/8986924/107aaaa41645/12672_2022_484_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0e/8986924/ceb888442211/12672_2022_484_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0e/8986924/ca257c57555a/12672_2022_484_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0e/8986924/cad6ffbb1c90/12672_2022_484_Fig4_HTML.jpg

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本文引用的文献

1
A review of imaging of surface sarcomas of bone.骨表面肉瘤的影像学综述。
Skeletal Radiol. 2021 Jan;50(1):9-28. doi: 10.1007/s00256-020-03546-1. Epub 2020 Jul 17.
2
Parosteal osteosarcoma associated with a low-grade component mimicking well-differentiated liposarcoma: a case report.骨旁骨肉瘤伴低度分化成分,类似分化良好型脂肪肉瘤:病例报告。
Skeletal Radiol. 2021 Jan;50(1):243-248. doi: 10.1007/s00256-020-03509-6. Epub 2020 Jun 21.
3
What's new in bone forming tumours of the skeleton?骨骼形成肿瘤有哪些新进展?
Virchows Arch. 2020 Jan;476(1):147-157. doi: 10.1007/s00428-019-02683-w. Epub 2019 Nov 18.
4
Parosteal osteosarcoma with focal fatty metaplasia: A case report.伴有局灶性脂肪化生的骨旁骨肉瘤:病例报告
Radiol Case Rep. 2018 Nov 8;14(2):200-203. doi: 10.1016/j.radcr.2018.10.028. eCollection 2019 Feb.
5
Pleomorphic liposarcoma of bone: a rare primary malignant bone tumour.骨多形性脂肪肉瘤:一种罕见的原发性恶性骨肿瘤。
Clin Sarcoma Res. 2018 Feb 9;8:2. doi: 10.1186/s13569-018-0089-7. eCollection 2018.
6
Osteogenic differentiation in dedifferentiated liposarcoma: a study of 36 cases in comparison to the cases without ossification.去分化脂肪肉瘤中的成骨分化:36 例与无骨化病例的对比研究。
Histopathology. 2018 Apr;72(5):729-738. doi: 10.1111/his.13421. Epub 2017 Dec 22.
7
Surface osteosarcomas: Diagnosis, treatment and outcome.骨表面骨肉瘤:诊断、治疗与预后
Indian J Orthop. 2014 May;48(3):255-61. doi: 10.4103/0019-5413.132503.
8
Parosteal osteoliposarcoma: a new bone tumor (from imaging to immunophenotype).骨旁骨脂肉瘤:一种新的骨肿瘤(从影像学表现到免疫表型)。
Eur J Radiol. 2013 Dec;82(12):2149-53. doi: 10.1016/j.ejrad.2011.11.035. Epub 2011 Dec 15.
9
Can MDM2 and CDK4 make the diagnosis of well differentiated/dedifferentiated liposarcoma? An immunohistochemical study on 129 soft tissue tumours.MDM2 和 CDK4 能否诊断高分化/去分化脂肪肉瘤?129 例软组织肿瘤的免疫组化研究。
J Clin Pathol. 2009 Dec;62(12):1127-35. doi: 10.1136/jcp.2009.070201.
10
Detection of MDM2-CDK4 amplification by fluorescence in situ hybridization in 200 paraffin-embedded tumor samples: utility in diagnosing adipocytic lesions and comparison with immunohistochemistry and real-time PCR.通过荧光原位杂交技术检测200份石蜡包埋肿瘤样本中的MDM2-CDK4扩增:在诊断脂肪细胞性病变中的应用及与免疫组织化学和实时PCR的比较
Am J Surg Pathol. 2007 Oct;31(10):1476-89. doi: 10.1097/PAS.0b013e3180581fff.