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[孤立性骨囊肿。形态学变异、部位、发病率及鉴别诊断]

[Solitary bone cysts. Morphologic variation, site, incidence and differential diagnosis].

作者信息

Amling M, Werner M, Pösl M, Ritzel H, Welkerling H, Wening J V, Maas R, Winkler K, Heise U, Delling G

机构信息

Abteilung Osteopathologie, Pathologisches Institut, Universität, Hamburg.

出版信息

Pathologe. 1996 Jan;17(1):63-7. doi: 10.1007/s002920050136.

Abstract

Analysis of 402 solitary bone cysts demonstrates the wide morphological variation of this cystic lesion with regard to histology and radiology. Aside from metaphyseal location in femur (33%) and humerus (23%), solitary bone cysts are also often located in calcaneus (11%), tibia (11%) and pelvis (10%). Most patients are in the second decade of life. Differentiation between this benign lesion and malignant bone tumors is very important in daily clinical routine. The diagnosis cannot be based solely on radiological findings because of the variation of solitary bone cysts and the special forms, such as calcifying solitary bone cyst. Therefore, exact histological diagnosis is of particular importance.

摘要

对402例孤立性骨囊肿的分析表明,这种囊性病变在组织学和放射学方面存在广泛的形态学变异。除了位于股骨(33%)和肱骨(23%)的干骺端外,孤立性骨囊肿也常位于跟骨(11%)、胫骨(11%)和骨盆(10%)。大多数患者处于第二个十年。在日常临床实践中,区分这种良性病变和恶性骨肿瘤非常重要。由于孤立性骨囊肿的变异以及特殊形式,如钙化性孤立性骨囊肿,诊断不能仅基于放射学表现。因此,准确的组织学诊断尤为重要。

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