Potter C, Conner G H, Sharkey F E
Am J Otol. 1983 Apr;4(4):318-22.
Benign osteoblastoma is an uncommon tumor in the skull and particularly rare in the temporal bone. This article presents the clinical, radiologic, and pathologic findings of the fifth case known to involve the temporal bone, and only th second case limited to the temporal bone itself. Subtotal removal was performed following embolization of the tumor. The patient currently has no evidence of disease eighteen months following therapy. Benign osteoblastoma is rarely synchronously or metachronously associated with its malignant counterpart, osteosarcoma. Treatment should be conservative. Subtotal curettage is acceptable and often results in long-term resolution. Radiotherapy is not recommended unless the removal is incomplete and the consequences of local recurrence are serious, as in vertebral lesions. This lesion may be highly vascular, and preoperative embolization should be considered to minimize blood loss at surgery.
骨母细胞瘤是一种罕见于颅骨的肿瘤,尤其在颞骨中极为罕见。本文介绍了已知累及颞骨的第五例病例的临床、放射学和病理学表现,也是仅局限于颞骨本身的第二例病例。在对肿瘤进行栓塞后进行了次全切除。治疗18个月后,患者目前无疾病证据。骨母细胞瘤很少与恶性对应物骨肉瘤同时或异时发生。治疗应采取保守方式。次全刮除术是可以接受的,且通常能实现长期治愈。除非切除不完全且局部复发后果严重,如椎体病变,否则不建议进行放疗。这种病变可能血管丰富,术前应考虑栓塞以减少手术中的失血。