Pediatric Surgery, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India.
Pediatric Surgery, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India
BMJ Case Rep. 2023 Oct 29;16(10):e257794. doi: 10.1136/bcr-2023-257794.
Parosteal lipomas are typically seen in adults and affect mostly the diaphysis of the long bones of the upper and lower limbs. Only a few cases have been reported in children until now and none were reported involving ribs. A female adolescent patient presented with swelling on the left upper back over the scapular region for the past 4 years without any neurological deficit. MRI revealed a hyperintense lesion on the left paravertebral region extending from D5 to D12 and into the intercostal space, causing it to widen. The patient underwent surgical excision. The lipomatous mass was seen entering in to the intercostal space, causing it to widen. However, the pleura was not breached. In this report, we have performed a literature review compiling all cases of parosteal lipoma affecting the ribs.
骨旁脂肪瘤主要见于成年人，多影响四肢长骨的骨干。到目前为止，只有少数儿童病例报告，没有报告涉及肋骨。一名女性青少年患者在过去 4 年中出现左背部肩胛区肿胀，无神经功能缺损。MRI 显示左侧椎旁区域从 D5 到 D12 延伸至肋间隙的高信号病变，导致其增宽。患者接受了手术切除。脂肪瘤肿块进入肋间隙，导致其增宽。然而，胸膜没有破裂。在本报告中，我们进行了文献回顾，汇编了所有累及肋骨的骨旁脂肪瘤病例。
