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表现为膨胀性溶骨性病变的骨内皮样囊肿。

Intraosseous Dermoid Presenting as an Expansile Lytic Lesion.

作者信息

O'Shea Grace E, Watson Victoria L, Acakpo-Satchivi Leslie

机构信息

Southern Illinois University, Department of Neurosurgery, Springfield, Illinois, United States.

Springfield Clinic, Department of Neurological Surgery, Springfield, Illinois, United States.

出版信息

J Neurol Surg Rep. 2022 Jul 10;83(3):e77-e79. doi: 10.1055/s-0042-1750291. eCollection 2022 Jul.

DOI:10.1055/s-0042-1750291
PMID:35832686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9272015/
Abstract

Cranial dermoids have the tendency to occur in the midline, especially near fontanelles and sutures early in the life of a patient. Here we present an unusual case of an intraosseous dermoid that presented initially as a lytic lesion, off of the midline and not associated with cranial sutures or fontanelles. The diameter of the lesion grew to approx 15 mm over time, thus the decision was made to take the child to surgery for removal of dermoid with the use of neuronavigation and cranioplasty. A dermoid cyst was confirmed on histopathologic analysis.

摘要

颅骨皮样囊肿倾向于发生在中线部位，尤其是在患者生命早期靠近囟门和缝线处。在此，我们报告一例罕见的骨内皮样囊肿病例，该病例最初表现为溶骨性病变，位于中线以外，与颅骨缝线或囟门无关。随着时间推移，病变直径增长至约15毫米，因此决定采用神经导航和颅骨成形术为患儿进行手术切除皮样囊肿。组织病理学分析证实为皮样囊肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc4a/9272015/155cc55dca49/10-1055-s-0042-1750291-i200018-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc4a/9272015/a282e5bdc671/10-1055-s-0042-1750291-i200018-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc4a/9272015/74840cdcd896/10-1055-s-0042-1750291-i200018-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc4a/9272015/c62e9330e73d/10-1055-s-0042-1750291-i200018-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc4a/9272015/155cc55dca49/10-1055-s-0042-1750291-i200018-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc4a/9272015/a282e5bdc671/10-1055-s-0042-1750291-i200018-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc4a/9272015/74840cdcd896/10-1055-s-0042-1750291-i200018-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc4a/9272015/c62e9330e73d/10-1055-s-0042-1750291-i200018-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc4a/9272015/155cc55dca49/10-1055-s-0042-1750291-i200018-4.jpg

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本文引用的文献

1
Intraorbital Dermoid Cyst With Zygomaticofrontal Suture Erosion in an Adult.成人眶内皮样囊肿伴颧额缝侵蚀
J Craniofac Surg. 2019 Mar/Apr;30(2):514-515. doi: 10.1097/SCS.0000000000005005.
2
Evolution of epidermoid cyst into dermoid cyst: Embryological explanation and radiological-pathological correlation.表皮样囊肿向皮样囊肿的演变：胚胎学解释及放射学与病理学的相关性。
Neuroradiol J. 2019 Apr;32(2):92-97. doi: 10.1177/1971400918821086. Epub 2019 Jan 3.
3
Dermoid and Epidermoid Cysts of Scalp: Case Series of 234 Consecutive Patients.
头皮皮样囊肿和表皮样囊肿：234例连续患者的病例系列
World Neurosurg. 2018 Dec;120:119-124. doi: 10.1016/j.wneu.2018.08.197. Epub 2018 Sep 3.
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Posterior fossa ruptured dermoid cyst presenting with hydrocephalus.后颅窝破裂皮样囊肿伴脑积水
Neurosciences (Riyadh). 2016 Oct;21(4):358-360. doi: 10.17712/nsj.2016.4.20160280.
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Intradiploic epidermoid cyst with intracranial hypertension syndrome: Report of two cases and literature review.伴颅内高压综合征的板障内表皮样囊肿：两例报告及文献复习
Int J Surg Case Rep. 2015;16:81-6. doi: 10.1016/j.ijscr.2015.09.022. Epub 2015 Sep 25.
6
Intradiploic dermoid cyst of the lateral frontotemporal skull: case report and review of the literature.外侧额颞部颅骨板障内皮样囊肿：病例报告及文献复习
Pediatr Neurosurg. 2013;49(4):232-5. doi: 10.1159/000363329. Epub 2014 Jul 9.
7
Dermoid cyst: unusual localization.皮样囊肿：罕见的部位。
J Craniofac Surg. 2012 Sep;23(5):e392-4. doi: 10.1097/SCS.0b013e31825ab1e1.
8
Pediatric dermoid cysts of the head and neck.小儿头颈部皮样囊肿
Otolaryngol Head Neck Surg. 2005 Jun;132(6):938-42. doi: 10.1016/j.otohns.2005.03.005.
9
Intradiploic epidermoid cysts of the skull: a report of four cases.颅骨板障内表皮样囊肿：4例报告
Clin Neurol Neurosurg. 2005 Apr;107(3):262-7. doi: 10.1016/j.clineuro.2004.06.005.