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肋骨骨软骨瘤:血胸的罕见病因。

Osteochondroma of the rib: an unusual cause of haemothorax.

作者信息

Harrison N K, Wilkinson J, O'Donohue J, Hansell D, Sheppard M N, Goldstraw P G, Davison A G, Newman Taylor A J

机构信息

Royal Brompton National Heart and Lung Hospital, London.

出版信息

Thorax. 1994 Jun;49(6):618-9. doi: 10.1136/thx.49.6.618.

DOI:10.1136/thx.49.6.618
PMID:8016805
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC474971/
Abstract

The case is described of a 36 year old woman who presented with a large left sided haemothorax. A thoracic computed tomographic (CT) scan suggested there was a bony outgrowth arising from the fourth rib. This was resected surgically and found to be an osteochondroma which was surrounded by blood clot. No definite site of bleeding was identified, but it is thought that the tumour may have traumatised the lung, the pericardiacophrenic artery, or the superior pulmonary vein, resulting in life threatening haemorrhage.

摘要

本文描述了一名36岁女性,她因左侧大量血胸就诊。胸部计算机断层扫描(CT)显示第四肋骨有骨赘形成。手术切除后发现是一个骨软骨瘤,周围有血凝块。未确定明确的出血部位,但认为肿瘤可能损伤了肺、心包膈动脉或肺上静脉,导致危及生命的出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b00/474971/8e5a27993218/thorax00298-0099-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b00/474971/b4e5ac02fb1c/thorax00298-0098-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b00/474971/bd442f9771c4/thorax00298-0099-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b00/474971/8e5a27993218/thorax00298-0099-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b00/474971/b4e5ac02fb1c/thorax00298-0098-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b00/474971/bd442f9771c4/thorax00298-0099-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b00/474971/8e5a27993218/thorax00298-0099-b.jpg

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本文引用的文献

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Twenty years' experience with intrinsic tumors of the bony thorax at a large institution.在一家大型机构中对胸廓原发性肿瘤的二十年经验。
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肋骨多发性外生骨疣引起的胸痛:一例报告及文献复习
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Osteochondroma of the fifth rib resulting in recurrent hemothorax.第五肋骨骨软骨瘤导致反复血胸。
Skeletal Radiol. 2015 Dec;44(12):1853-6. doi: 10.1007/s00256-015-2257-7. Epub 2015 Sep 30.
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Costal exostosis presenting with hemothorax: report of one case.
Eur J Pediatr. 2006 May;165(5):342-3. doi: 10.1007/s00431-005-0060-5. Epub 2006 Jan 25.
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Costal osteochondroma presenting as haemothorax and diaphragmatic laceration.表现为血胸和膈肌撕裂的肋骨骨软骨瘤。
Pediatr Radiol. 2005 Jul;35(7):706-9. doi: 10.1007/s00247-005-1407-9. Epub 2005 Apr 2.
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[Intrathoracic chondrosarcoma arising at a rib in a patient with multiple exostoses].[多发外生骨疣患者肋骨部位发生的胸内软骨肉瘤]
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5
Primary bone tumours of the thoracic skeleton: an audit of the Leeds regional bone tumour registry.胸廓骨骼原发性骨肿瘤:利兹地区骨肿瘤登记处的一项审计
Thorax. 1990 Nov;45(11):850-5. doi: 10.1136/thx.45.11.850.
6
[Osteogenic exostosis of the first rib: a rare etiology of thoracic outlet syndrome. Apropos of a case].[第一肋骨成骨性外生骨疣:胸廓出口综合征的罕见病因。附病例报告]
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