Qureshi A A, Gitelis S, Templeton A A, Piasecki P A
Department of Orthopaedics, Rush Presbyterian St. Luke's Medical Center, Chicago, IL.
Clin Orthop Relat Res. 1994 Nov(308):192-8.
A case of a 34-year-old man with a pathologic fracture through a lytic lesion in the left glenoid is presented. The results of a needle biopsy of the lesion showed a benign pleomorphic adenoma. Sixteen years previously, the patient had a pleomorphic adenoma of the parotid gland. Histology of the initial tissue and the needle biopsy specimen were identical. The patient developed metastasis without any local recurrence of the initial tumor. When evaluating a patient with a lytic lesion of bone with a history of a benign pleomorphic adenoma of the salivary gland, a metastasis should be considered.
本文报告一例34岁男性患者，其左肩胛盂的溶骨性病变导致病理性骨折。病变的针吸活检结果显示为良性多形性腺瘤。16年前，该患者曾患腮腺多形性腺瘤。初始组织和针吸活检标本的组织学表现相同。患者出现转移，初始肿瘤无任何局部复发。在评估有唾液腺良性多形性腺瘤病史且存在骨溶骨性病变的患者时，应考虑转移的可能。
