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左肱骨单房性骨囊肿的非典型表现:一例报告

An Atypical Presentation of a Unicameral Bone Cyst in the Left Humerus: A Case Report.

作者信息

Sahu Priyansh, Tivaskar Suhas, Somankar Saurabh, Sonewane Sharwani, Luharia Anurag

机构信息

Department of Radiology, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 16;16(7):e64679. doi: 10.7759/cureus.64679. eCollection 2024 Jul.

DOI:10.7759/cureus.64679
PMID:39149634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11326747/
Abstract

Simple bone cysts (SBCs) are the most common osteolytic lesions in children, often leading to pathological fractures of non-weight-bearing bones. These benign tumors primarily arise in the proximal humerus, femur, or calcaneus. The cystic cavity is filled with serous or serosanguineous fluid and lined by a thin fibrovascular connective tissue membrane. The etiological factors include disturbances in bone growth, local venous obstruction, synovial origin disorders, and genetic predispositions. SBCs are most frequently observed in individuals from birth to 20 years of age. The report presented a case of a 12-year-old male patient who was admitted to the hospital with a history of a mass on his left upper arm. The mass had an acute onset and gradually progressed to its current size over three to four weeks, after which it became nonprogressive. The patient had been healthy until the age of four, after which he experienced frequent fractures of the left arm following trivial trauma. Multiple traumas led to the gradual formation of a diffuse mass over the upper part of the humerus. Radiological imaging modalities, such as X-ray and magnetic resonance imaging, are crucial in diagnosing bone cysts and evaluating their clinical conditions. Treatment can involve the injection of bone marrow or steroids into the cyst to facilitate the healing process.

摘要

单纯性骨囊肿(SBCs)是儿童最常见的溶骨性病变,常导致非负重骨的病理性骨折。这些良性肿瘤主要发生于肱骨近端、股骨或跟骨。囊腔内充满浆液性或血清血性液体,内衬一层薄的纤维血管结缔组织膜。病因包括骨生长紊乱、局部静脉阻塞、滑膜起源异常和遗传易感性。SBCs最常见于出生至20岁的个体。该报告介绍了一名12岁男性患者的病例,该患者因左上臂肿物病史入院。肿物急性起病,在三到四周内逐渐发展至目前大小,之后不再进展。该患者四岁前一直健康,此后左臂在轻微外伤后频繁骨折。多次外伤导致肱骨上部逐渐形成弥漫性肿物。X线和磁共振成像等放射学成像方式对于诊断骨囊肿和评估其临床状况至关重要。治疗可包括向囊肿内注射骨髓或类固醇以促进愈合过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf18/11326747/662595273baa/cureus-0016-00000064679-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf18/11326747/42126cf4845a/cureus-0016-00000064679-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf18/11326747/662595273baa/cureus-0016-00000064679-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf18/11326747/42126cf4845a/cureus-0016-00000064679-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf18/11326747/662595273baa/cureus-0016-00000064679-i02.jpg

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J Orthop Surg (Hong Kong). 2018 May-Aug;26(2):2309499018778366. doi: 10.1177/2309499018778366.
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