Sato Y, Kitamura T, Suganuma Y, Kotani T, Hata J
Department of Pediatric Surgery, Hachioji Children's Hospital, Tokyo.
Eur J Pediatr Surg. 1993 Apr;3(2):107-9. doi: 10.1055/s-2008-1063522.
We present a case with cranial fasciitis in childhood and review the literature. A 7-year-old boy presented with hard mass on the scalp. He had sustained a bruise on the right temporal region about 2 years previously. Ultrasonic examination and CT scanning revealed the ossifying soft tissue mass in the right temporal scalp causing erosion and scalloping of the outer table of the skull. At surgery the lesion was firmly attached to the periosteum and the skull. The lesion was completely excised and the lytic bone curettaged. The tumor was composed of immature fibroblasts and diagnosed as cranial fasciitis in childhood. A brief review of the literature is included emphasizing the need to investigate further this completely benign lesion that is frequently confused with a malignant neoplasm.
我们报告一例儿童颅骨筋膜炎病例并复习相关文献。一名7岁男孩头皮出现硬性肿块。约2年前其右侧颞部曾受过擦伤。超声检查和CT扫描显示右侧颞部头皮有骨化性软组织肿块，导致颅骨外板侵蚀和呈扇形改变。手术时病变与骨膜和颅骨紧密相连。病变被完整切除，溶骨性骨质行刮除术。肿瘤由未成熟的成纤维细胞组成，诊断为儿童颅骨筋膜炎。文中还包括文献简要复习，强调需进一步研究这种常被误诊为恶性肿瘤的完全良性病变。
