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59 岁男性患者右手第五指关节外腱鞘滑膜软骨瘤病:病例报告并文献复习

Extra-articular tenosynovial chondromatosis of the right fifth digit in a 59-year-old man: A case report and literature review.

机构信息

Department of Radiology, Nassau University Medical Center, East Meadow, NY, USA.

American University of the Caribbean School of Medicine, St. Maarten.

出版信息

J Radiol Case Rep. 2021 Aug 1;15(8):8-17. doi: 10.3941/jrcr.v15i8.4212. eCollection 2021 Aug.

Abstract

Tenosynovial chondromatosis is a rare benign disorder characterized by formation of cartilaginous bodies within the synovia of the tendon sheaths. Most commonly present in the hands and feet. Clinical presentation and plain radiography can be inconclusive, which can lead to misclassification, most often confused as a chondroma of soft parts. In this case, we report the clinical, radiologic, and histology of a 59-year-old man who presented with a 1-year history of mass on the right fifth digit with limitation of motion secondary to this condition. Surgical excision revealed multiple cartilaginous nodules of varying size arising from the flexor tendon sheath. The diagnosis was confirmed postoperatively by surgical histopathology. The postoperative course of the patient was uncomplicated and has achieved an excellent functional recovery.

摘要

腱鞘软骨瘤病是一种罕见的良性疾病,其特征是在腱鞘的滑膜内形成软骨体。最常见于手和脚。临床表现和普通放射摄影可能不明确,这可能导致分类错误,最常被误诊为软组织软骨瘤。在此例中,我们报告了一位 59 岁男性的临床、放射学和组织学表现,他因右手第五指的肿块就诊,病史 1 年,伴有运动受限。手术切除显示多个大小不一的软骨结节,起源于屈肌腱鞘。术后组织病理学证实了诊断。患者的术后过程顺利,功能恢复良好。

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本文引用的文献

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Tenosynovial chondromatosis of the flexor hallucis longus in a 17-year-old girl.一名17岁女孩的拇长屈肌腱滑膜软骨瘤病
Pediatr Radiol. 2015 Nov;45(12):1874-7. doi: 10.1007/s00247-015-3383-z. Epub 2015 May 26.

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