Huang C L, Kitano M, Shindo T, Suzumura Y, Matsui T
Department of Thoracic Surgery, Tenri Hospital, Nara, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1994 Aug;32(8):809-13.
A 19-year-old man was hospitalized because of left chest pain. He had a tumor in the left fifth rib with tenderness. Partial resection of the fifth rib was performed. Pathological examination showed granuloma with infiltration of histiocyte-like cells and eosinophils, and S-100 staining was positive. Therefore, the rib tumor was diagnosed as eosinophilic granuloma. Thereafter, the patient had recurrent bone lesions of the mandible, temporal bone, zygomatic bone, scapula, right eleventh rib, and tibia. Radiation therapy was effective for local treatment of each bone lesion. Moreover, pulmonary lesion was suspected on roentgenographic study. However, he had no respiratory symptoms and there was no significant change on roentgenographic findings over six years. It was considered that follow up for detection of bone and pulmonary lesions should be continued in this case.
一名19岁男性因左胸痛入院。他左侧第五肋骨有肿瘤，伴有压痛。对第五肋骨进行了部分切除。病理检查显示为肉芽肿，有组织细胞样细胞和嗜酸性粒细胞浸润，S-100染色呈阳性。因此，肋骨肿瘤被诊断为嗜酸性肉芽肿。此后，患者下颌骨、颞骨、颧骨、肩胛骨、右第十一肋骨和胫骨出现复发性骨病变。放射治疗对每个骨病变的局部治疗有效。此外，X线检查怀疑有肺部病变。然而，他没有呼吸道症状，六年多来X线检查结果无明显变化。认为该病例应继续随访以检测骨和肺部病变。
