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一例可能导致年轻男性肘部严重骨关节炎的树枝状脂肪瘤。

A Lipoma Arborescens Probably Causing Significant Osteoarthritis of the Elbow in a Young Man.

作者信息

Bahk Won-Jong, Shin Seungyup, Jang Junho, Seo Kyung Jin, Kim Yongju, Kim Hyunjung

机构信息

Department of Orthopedic Surgery, Cheju Halla General Hospital, Jeju 63127, Republic of Korea.

Department of Hospital Pathology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.

出版信息

Diagnostics (Basel). 2025 Jul 28;15(15):1888. doi: 10.3390/diagnostics15151888.

Abstract

Lipoma arborescens (LA) is a rare, non-neoplastic, intra-articular, mass-like lesion with villous lipomatous proliferation that replaces and distends the synovium, particularly in the knee joint. A few cases have been sporadically reported to affect the shoulder, elbow, wrist, hip, and ankle. The authors would like to present a rare and unique case of LA in the elbow joint with significant osteoarthritis in a 24-year-old young man, which suggests that a longstanding pre-existing LA can give rise to severe degenerative arthritis even in young patients unless diagnosed early and adequately treated.

摘要

树枝状脂肪瘤(LA)是一种罕见的、非肿瘤性的关节内肿块样病变,具有绒毛状脂肪组织增生,可取代并扩张滑膜,尤其是在膝关节。已有少数散发病例报道其可累及肩部、肘部、腕部、髋部和踝部。本文作者将介绍一例发生于一名24岁青年男性肘关节的罕见且独特的LA病例,该病例伴有严重骨关节炎,提示长期存在的LA即使在年轻患者中也可导致严重的退行性关节炎,除非早期诊断并得到充分治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/970d/12346672/580ad11d3c41/diagnostics-15-01888-g001.jpg

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