大腿部冬眠瘤：一例39岁男性病例报告
Hibernoma of Thigh: A Case Report of 39-Year-Old Male.
作者信息
Alqadhib Nasser Sulaiman, Alshaya Osama Saleh
机构信息
Department of Orthopedic, Orthopedic Surgery Resident, King Fahad Medical City, Riyadh, Saudi Arabia.
Department of Orthopedic, Oncology and Reconstructive Arthroplasty Consultant, King Fahad Medical City, Riyadh, Saudi Arabia.
出版信息
J Orthop Case Rep. 2021 Oct;11(10):69-72. doi: 10.13107/jocr.2021.v11.i10.2474.
INTRODUCTION
Hibernoma is an uncommon benign lipomatous tumor that originates from residual brown fat. It commonly affects adult patients aged between 30 and 40 with a slight predominance in male more than female and usually seen in the thigh, shoulder, back, chest, axilla, and neck. The present report aimed to highlight on a viable differential diagnosis of thigh mass including liposarcoma and atypical lipoma.
CASE PRESENTATION
This is the case report with detailed history, examination of 39-year-old male patient with hibernoma over medial aspect of thigh. Marginal surgical resection was carried and sent to histopathology to confirm the diagnosis of hibernoma.
CONCLUSION
Hibernoma is a rare benign lipomatous soft tissue tumor with no known risk for malignant transformation or metastasis. Based on imaging examination, it can mimic malignant tumors such as, liposarcoma, in which we believe that biopsy is required in order to reach the diagnosis in most of the cases.
引言
冬眠瘤是一种罕见的良性脂肪瘤性肿瘤，起源于残留的棕色脂肪。它通常影响30至40岁的成年患者，男性略多于女性，常见于大腿、肩部、背部、胸部、腋窝和颈部。本报告旨在强调对大腿肿块进行可行的鉴别诊断，包括脂肪肉瘤和非典型脂肪瘤。
病例介绍
这是一份关于一名39岁男性患者的病例报告，该患者大腿内侧患有冬眠瘤，报告详细记录了病史和检查情况。进行了边缘性手术切除，并送去做组织病理学检查以确诊冬眠瘤。
结论
冬眠瘤是一种罕见的良性脂肪瘤性软组织肿瘤，尚无已知的恶变或转移风险。基于影像学检查，它可能类似恶性肿瘤，如脂肪肉瘤，我们认为在大多数情况下需要进行活检才能确诊。
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