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[儿童非创伤性骨化性肌炎。关于一例酷似恶性肿瘤病例的文献综述]

[Non-traumatic myositis ossificans in a child. Review of the literature apropos of a case mimicking malignant tumor].

作者信息

Bronfen C, Touzet P, Peuchmaur M, Prieur A M, Rigault P

机构信息

Service d'Orthopédie Traumatologie Infantile, Hôpital des Enfants Malades, Paris.

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1993;79(3):229-34.

PMID:8122012
Abstract

A ten year nine month-old girl was admitted to hospital for a painful inflammatory tumour of the right popliteal area. There was a calcification on X-ray and computerised angiography showed a tumour. MRI showed a heterogenous irregular mass. This looked like a malignant tumour. At surgical biopsy: it was a circonscripta myositis ossificans. This benign tumour of soft tissues, rare in children (25 cases in the literature), had a spontaneous favourable evolution. Differential diagnosis with malignant tumour is well known, but is still difficult. Biopsy is necessary in doubtful cases. We had to remove the mass because of acute pain.

摘要

一名10岁9个月大的女孩因右腘窝区疼痛性炎性肿瘤入院。X线检查发现有钙化,计算机血管造影显示有肿瘤。磁共振成像显示为不均匀的不规则肿块。看起来像是恶性肿瘤。手术活检显示:为骨化性肌炎。这种软组织良性肿瘤在儿童中罕见(文献中有25例),有自发的良好转归。与恶性肿瘤的鉴别诊断众所周知,但仍然困难。在可疑病例中活检是必要的。由于剧痛,我们不得不切除肿块。

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