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你的智能手机在哪里?阔筋膜张肌内的一个异常肿物。

Where is your smartphone? An unusual mass within the tensor fasciae latae muscle.

作者信息

Minoretti Piercarlo, Lahmar Abdelilah, Emanuele Enzo

机构信息

Studio Minoretti, Oggiono, Italy.

Department of Family Medicine, Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco.

出版信息

Radiol Case Rep. 2023 Aug 31;18(11):3984-3987. doi: 10.1016/j.radcr.2023.08.079. eCollection 2023 Nov.

Abstract

We report a case of a 40-year-old Italian man presenting with an intramuscular schwannoma in his left thigh, which coincided with the area where he habitually stored his smartphone (front left trouser pocket). An ultrasound examination revealed a well-defined, encapsulated, hypoechoic lesion (41 × 15 × 28 mm) within the muscle, showing multiple small foci of vascularity on color Doppler. Elastographic analysis indicated a deformability score of 2, with some areas of stiffness. Magnetic resonance imaging confirmed the presence of a spindle-shaped mass in the tensor fasciae latae muscle, with varying enhancement after contrast administration. Notably, the location of the intramuscular mass closely corresponded to the placement of the phone's SIM card. While we cannot establish a definitive causal relationship between the patient's smartphone storage habit and the development of the intramuscular schwannoma, we speculate that the habitual storage location may have potentially acted as a risk or predisposing factor. This case underscores the need for further research on the potential health risks associated with smartphone storage habits, considering their widespread prevalence in today's society.

摘要

我们报告了一例40岁的意大利男性病例,其左大腿出现了一个肌内神经鞘瘤,该部位与他习惯存放智能手机的区域(左前裤兜)重合。超声检查显示肌肉内有一个边界清晰、有包膜的低回声病变(41×15×28毫米),彩色多普勒显示有多个小血管灶。弹性成像分析表明可变形性评分为2,有一些僵硬区域。磁共振成像证实阔筋膜张肌中有一个梭形肿块,造影剂注入后有不同程度的强化。值得注意的是,肌内肿块的位置与手机SIM卡的放置位置密切对应。虽然我们无法确定患者的智能手机存放习惯与肌内神经鞘瘤的发生之间存在明确的因果关系,但我们推测,习惯性存放位置可能潜在地起到了风险或诱发因素的作用。该病例强调了鉴于智能手机存放在当今社会的广泛普及,有必要对其相关潜在健康风险进行进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccdb/10480452/bf64f7fc63f1/gr1.jpg

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