以慢性背痛为表现的骨软骨黏液样纤维瘤
Chondromyxoid fibroma of bone presenting as chronic back pain.
作者信息
Schmidt R G, Reddy C S, Applegate T D, Ghabra M
机构信息
Musculoskeletal Tumor and Limb Reconstruction Center, Bala Cynwyd, PA, USA.
出版信息
J Manipulative Physiol Ther. 1998 Oct;21(8):564-7.
OBJECTIVE
To discuss a case of chondromyxoid fibroma presenting with low back pain.
CLINICAL FEATURES
A 50-yr-old man had an 8-yr history of low back pain. This was diagnosed and treated as arising from the disc and caused by spinal stenosis. Magnetic resonance imaging findings supported the clinical findings. Years later, a plain radiograph of the pelvis revealed an incidental abnormality of the right ilium, and the patient was subsequently referred to a musculoskeletal tumor center for treatment.
INTERVENTION AND OUTCOME
The lesion was surgically removed and the defect was reconstructed via bone allograft.
CONCLUSION
Such tumors are a rare cause of back pain. Tumors of the pelvis can at times present as back pain. In cases of refractory back pain, an X-ray of the pelvis can be a useful screening investigation. Chondromyxoid fibromas are rare tumors best treated by excision if they are amenable or by curettage and bone grafting procedures.
目的
探讨一例以腰痛为表现的软骨黏液样纤维瘤病例。
临床特征
一名50岁男性有8年腰痛病史。最初诊断为椎间盘源性疾病并因椎管狭窄接受治疗。磁共振成像结果支持临床诊断。数年后，骨盆平片偶然发现右髂骨异常，患者随后被转诊至肌肉骨骼肿瘤中心接受治疗。
干预与结果
病变通过手术切除，缺损采用同种异体骨移植重建。
结论
此类肿瘤是腰痛的罕见病因。骨盆肿瘤有时可表现为腰痛。对于难治性腰痛病例，骨盆X线检查可能是一项有用的筛查手段。软骨黏液样纤维瘤是罕见肿瘤，若可切除则最好通过切除治疗，或采用刮除及骨移植手术。
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