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足部骨软骨脂肪瘤的手术切除治疗:病例报告及文献复习。

Osteochondrolipoma of the foot treated by surgical excision: a case report and literature review.

机构信息

Department of Orthopedics, College of Medicine, King Saud University Medical City, Riyadh, Saudi Arabia.

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

出版信息

BMC Musculoskelet Disord. 2024 Apr 9;25(1):275. doi: 10.1186/s12891-024-07308-1.

Abstract

BACKGROUND

Osteochondromas, classified as a new benign subtype of lipomas and characterised by chondroid and osseous differentiation, are rare lesions that have been infrequently reported in previous literature. The maxillofacial region was reported as the most frequent localization, with infrequent occurrence in the lower limb. This paper represents the first documented case report of osteochondrolipoma in the foot.

CASE PRESENTATION

A 51-year-old male patient presented with a chief complaint of right foot pain at the plantar aspect, accompanied by the observation of swelling between the first and the second metatarsal shafts. His complaint of pain and swelling started 10 and 4 years prior, respectively. Since their onset, both symptoms have progressed in nature. Imaging revealved a large mass exhibiting a nonhomogenous composition of fibrous tissue and bony structures. Surgical intervention through total excision was indicated.

CONCLUSION

Osteochodrolipoma is a benign lesion that can affect the foot leading to decreased functionality of the foot due to the pain and swelling. Surgical excision is the recommended approach for this lesion, providing both symptomatic relief and confirmation of the diagnosis through histopathological examination.

摘要

背景

骨软骨瘤,被归类为一种新的良性脂肪瘤亚型,其特征为软骨和骨分化,是罕见的病变,在以往的文献中报道较少。颌面区域是最常见的发病部位,下肢发病罕见。本文代表了足部骨软骨脂瘤的首例有记录病例报告。

病例介绍

一名 51 岁男性患者因右足底疼痛和第一、二跖骨干之间肿胀就诊,疼痛和肿胀分别于 10 年前和 4 年前开始出现。自发病以来,两种症状均呈进行性加重。影像学检查显示一个大肿块,具有纤维组织和骨结构的非均匀组成。通过完全切除进行手术干预。

结论

骨软骨脂瘤是一种良性病变,可影响足部,导致足部功能下降,出现疼痛和肿胀。手术切除是这种病变的推荐方法,通过组织病理学检查不仅可以提供症状缓解,还可以确认诊断。

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