枢椎骨巨细胞瘤继发动脉瘤样骨囊肿1例报告

患者女,30岁.于2008年6月因"颈部不适6个月加重3个月"来我院就诊.6个月前无明显诱因出现颈部不适,在当地医院按"落枕"行理疗,无明显好转.3个月前颈部酸胀不适加重,遂来我院就诊.既往体健,无低热、寒战、盗汗,否认外伤史.     

腰椎骨巨细胞瘤继发动脉瘤样骨囊肿1例

骨巨细胞瘤（ giant cell tumor of bone, GCTB）是半恶性或潜在恶性的原发性肿瘤,具有高侵袭性和如复发性的特点。脊柱GCTB约古脊柱原发肿瘤的1．4％～9．4％,其中骶骨GCTB约古2．5％,骶骨以外的脊性GCTB约占2．9％,文献多是小数量的病例报告。     

骶骨骨巨细胞瘤并发动脉瘤样骨囊肿复发1例

患者，男性，19岁，主因骶尾部肿物手术后1年，进行性增大3个月以“骶骨肿瘤术后”收入院。患者于1年前，曾于当地医院以“骶骨肿瘤”收入院。患者于1年前，曾于当地医院以“骶骨肿瘤”（图1）行“骶骨肿瘤刮除术”。术后病理报告：骶骨动脉瘤样骨囊肿。入本院后，     

儿童坐骨骨巨细胞瘤继发动脉瘤样骨囊肿1例

<正>患儿,女,9岁,因"左臀部疼痛1年余,加重1个月"于2015年12月8日步行入院。患儿1年前出现左侧臀部疼痛,夜间显著,当时未予重视。近1个月来疼痛明显加重,至当地医院就诊,行肿物穿刺活检,病理提示:骨巨细胞瘤。入院查体:正常步态,双下肢等长。左坐骨支压痛,可及深部肿物,质硬、压痛,无活动。CT显示:左侧坐骨膨胀性囊状改变,骨皮质变薄并见骨缺损(见图1)。MRI平扫加增强提示:左侧坐骨斑片状异常信号,增强扫描病灶明显强化,未见     

胸椎骨巨细胞瘤一例

患者男,37岁。因"双下肢麻木无力0.5年,加重伴大小便解出困难1个月余"入院。既往史无特殊。入院后体格检查:生命体征平稳,T5、T6棘突轻度压痛,剑突平面以下感觉减退,双下肢肌力Ⅲ级。     

两种不同方法治愈胸椎骨巨细胞瘤2例报道

1临床资料例1女,34岁,无明显诱因出现胸背部疼痛3个月加重并行走无力1个月。MRI检查示:胸1椎体明显膨胀,皮质变薄,内部偏心溶骨性破坏,呈现"肥皂泡样改变",胸1节段脊髓受压明显(图1A,1B)。CT检查示:胸1椎体骨质破坏,肿瘤超过椎体后缘,向胸椎管内侵犯(图1C)。行胸1椎体切除植骨融合内固定术,术后疼痛明显缓解,神经症状逐渐恢复。病理结果显示骨巨细胞瘤(1～2级),见图1E。术后未予放射及双膦酸盐类药物辅助治疗。随访48个月肿瘤无复发,X线检查示植骨已融合(图1D)。     

妊娠期胸椎骨巨细胞瘤的治疗

正骨巨细胞瘤(giant cell tumor of bone,GCT)是常见的原发性良性骨肿瘤,好发于20~40岁的中青年人,女性略多于男性。好发于股骨远端、胫骨近端及胫骨远端,脊柱骨巨细胞瘤发病率低,约占全身骨巨细胞瘤的2%~15%~([1~6])。针对妊娠期合并骨巨细胞瘤的患者较为罕见,目前国内外学者在其临床治疗、转归及预后等方面均未形成共识。我院收治3例妊娠期胸椎骨巨细胞瘤病例,结合相关文献进行回顾分析,探索骨巨细胞瘤发生、复发与妊娠之间关系,总结妊娠期骨巨细胞瘤的临床治疗方案,为今后类似病例     

髌骨动脉瘤样骨囊肿1例

1病例资料 患者,女,22岁。于3年前无明显赝因出现左膝疼痛,呈持续性隐痛,与活动等无关,未予重视;3个月前无明显诱凶下出现左膝疼痛症状加重,伴行走乏力,于2008年4月入院。查体：左膝部皮温较右侧增高,左髌骨较右侧增大,约5．5cm×6．5cm,边界清楚,质硬;局部皮肤无红肿,无压痛,左膝关节活动无明显受限。影像学检查：X线示（图1）：左髌骨肿瘤,良性可能大。MRI示（图2）：左侧髌骨骨质破坏,考虑动脉瘤样骨囊肿可能。     

髌骨动脉瘤样骨囊肿1例

<正>笔者于2016-09诊治1例髌骨动脉瘤样骨囊肿,报道如下。1病例报道男,29岁,就诊前6个月打篮球时撞伤右膝关节,当时右膝关节前方红肿、疼痛,X线片检查未见异常,经休息、对症处理后缓解,6个月内右膝关节间断性疼痛,能忍受,近日疼痛加重、活动受限就诊。专科检查:右膝关节活动范围正常,皮温不     

锁骨远端动脉瘤样骨囊肿1例

正锁骨远端动脉瘤样骨囊肿临床较罕见,虽然这是一种良性、局限性骨肿瘤,但是其具有很强的骨质破坏能力。笔者于2017-02诊治1例左锁骨远端动脉瘤样骨囊肿,报道如下。1病例报道患者,女,10岁,因碰撞后左肩部疼痛伴活动受限4个月     

Giant cell tumor along with secondary aneurysmal bone cyst of scapula: A rare presentation

Giant cell tumor (GCT) is a distinctive lesion characterized by the proliferation of multinucleate giant cells in a stroma of mononuclear cells; it is generally seen in skeletally mature individuals. GCT of bone is usually found in the long bones around the knee or in the distal radius of young adults and is unusual in the flat bones. We report a case of GCT of the acromion of the scapula, with a secondary aneurysmal bone cyst, in a 30-year-old female. Based on our review of the English language medical literature, it appears that the occurrence of a GCT along with a secondary aneurysmal bone cyst in flat bones (e.g.. the scapula) is very rare.     

Chondroblastoma with secondary aneurysmal bone cyst of the hamate: case report

Chondroblastoma of the carpals is rare, can mimic other benign bone tumors, and presents a diagnostic challenge. There have been few cases of benign tumors involving the hamate, with only one reported case of chondroblastoma, which was treated with complete hamate excision. We present a case of chondroblastoma with secondary aneurysmal bone cyst of the hamate treated with curettage, high-speed burring, phenol, and autogenous iliac crest bone grafting. At the time of the most recent radiographic follow-up, there was full graft incorporation, preserved hamate morphology, and no evidence of recurrence.     

胸椎促纤维组织增生性小圆细胞肿瘤1例报告

<正>促纤维组织增生性小圆细胞肿瘤(desmoplastic small round cell tumor,DSRCT)是一种罕见的高度恶性肿瘤,由组织起源未定的小圆形肿瘤细胞构成。自1989年Gerald等~([1])首次报道了这种疾病后,临床有关DSRCT的报道较少,且多为个案报道。DSRCT主要发生于腹腔和盆腔,腹腔外少见,位于椎体的DSRCT更是罕见。近期我们收治1例胸椎DSRCT患者,报告如下。     

Patellar pathologic fracture secondary to aneurysmal bone cyst. A case report

Aneurysmal bone cyst is a tumor-like lesion which accounts for about 1% of all biopsied tumors and tumor-like lesions of bone. We report an extremely rare case of aneurysmal bone cyst of the patella in an 18-year-old patient revealed by a pathological fracture. The unexpected appearance of a pathological fracture affects the whole therapeutical management. However, in the case of a well-preserved articular surface, curettage and corticocancellous grafting are considered to be successful methods of treatment for aneurysmal bone cyst of the patella, as revealed in our study.     

Primary aneurysmal bone cyst of the patella: a case report

Aneurysmal bone cysts account for less than 1% of primary bone tumours and have a predilection for the metaphyses of the long bones of the leg. Only 1% of all aneurysmal bone cysts occur in the patella. We report on a 30-year-old man with a primary aneurysmal bone cyst in the right patella treated with curettage. The defect was filled with demineralised bone matrix and allogeneic cancellous bone graft. At the 1.5-year follow-up, the bone graft was well incorporated, the patient experienced no pain or tenderness and had a full range of knee movement.     

Giant cell tumor of the third metacarpal bone: a case report

A case of giant-cell tumor of the third metacarpal bone is reported, treated with resection and reconstruction by iliac graft. At a 5 years follow-up, the cosmetic and functional results of the hand are good.