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手部骨脂肪瘤：一例报告。

Osteolipoma of the hand: A case report.

作者信息

Budi Muhamad Naseh Sajadi, Yantisetiasti Anglita, Fitrah Ahmad, Handoko Hans Kristian, Wirawan Daniel, Abdurrahman Imam Ramdhani

机构信息

Department of Orthopaedics and Traumatology, Oncology Division, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia.

Department of Pathology Anatomy, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia.

出版信息

Int J Surg Case Rep. 2024 Dec;125:110534. doi: 10.1016/j.ijscr.2024.110534. Epub 2024 Oct 28.

DOI:10.1016/j.ijscr.2024.110534
PMID:39471677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11550152/
Abstract

INTRODUCTION

Osteolipoma is a rare variant of lipoma characterized by osseous metaplasia within adipose tissue. Its occurrence in the hand is exceptionally uncommon. This article aimed to report a case of osteolipoma in the hand.

CASE PRESENTATION

A 46-year-old right-handed Asian woman presented to the orthopedic polyclinic complaining of a painless mass on the palm of her left hand for four years. Physical examination revealed a solid, mobile, non-tender mass with well-defined margins. Radiographic imaging showed a well-circumscribed soft tissue mass with fat and central calcification. The patient underwent surgical excision, and a histopathological examination confirmed the osteolipoma. A six-month follow-up revealed no recurrence, and the patient could resume her daily activities.

DISCUSSION

This case highlights the importance of including osteolipoma in the differential diagnosis of hand masses, especially those with radiographic evidence of calcification. The rarity of this entity in the hand requires a high index of suspicion for accurate preoperative diagnosis.

CONCLUSION

While rare, osteolipoma of the hand should be considered in the differential diagnosis of soft tissue masses with osseous components. Complete surgical excision remains the treatment of choice, offering diagnostic confirmation and therapeutic intervention.

摘要

引言

骨脂肪瘤是脂肪瘤的一种罕见变体，其特征为脂肪组织内出现骨化生。它在手部位的发生极为罕见。本文旨在报告一例手部骨脂肪瘤病例。

病例介绍

一名46岁右利手亚洲女性前往骨科门诊就诊，主诉左手掌无痛性肿块已持续四年。体格检查发现一个质地坚实、可活动、无压痛且边界清晰的肿块。影像学检查显示一个边界清晰的软组织肿块，内含脂肪及中央钙化。患者接受了手术切除，组织病理学检查确诊为骨脂肪瘤。六个月的随访显示无复发，患者可恢复日常活动。

讨论

该病例凸显了在手部肿块的鉴别诊断中纳入骨脂肪瘤的重要性，尤其是那些有影像学钙化证据的肿块。这种病变在手部位的罕见性要求在术前准确诊断时保持高度的怀疑指数。

结论

尽管罕见，但在伴有骨成分的软组织肿块的鉴别诊断中应考虑手部骨脂肪瘤。完整的手术切除仍然是首选治疗方法，可提供诊断确认及治疗干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/a85bd7338a42/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/753f52371e8f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/a6b638e141b7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/bd078bba541f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/654cd78c4610/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/c1e2f8fd6447/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/0e4ea7a776ad/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/a85bd7338a42/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/753f52371e8f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/a6b638e141b7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/bd078bba541f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/654cd78c4610/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/c1e2f8fd6447/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/0e4ea7a776ad/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99a/11550152/a85bd7338a42/gr7.jpg

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Cureus. 2024 May 6;16(5):e59727. doi: 10.7759/cureus.59727. eCollection 2024 May.
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Giant Ossifying Lipoma of the Hand: A Case Report and Review of Literature.手部巨大骨化性脂肪瘤：病例报告及文献复习
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The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines.
SCARE 2023 指南：更新共识外科病例报告（SCARE）指南。
Int J Surg. 2023 May 1;109(5):1136-1140. doi: 10.1097/JS9.0000000000000373.
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Intra-articular osteolipoma of the elbow: A case report and a review of the literature.肘部关节内骨脂瘤：1例病例报告及文献复习
Bone Rep. 2022 Dec 10;18:101645. doi: 10.1016/j.bonr.2022.101645. eCollection 2023 Jun.
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