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1.
Percutaneous Ethibloc injection in aneurysmal bone cysts 总被引:2,自引:0,他引:2
Objective. To investigate whether the injection of Ethibloc into aneurysmal bone cysts can be an effective treatment modality.
Design and patients.Ethibloc is an alcoholic solution of zein (corn protein) which has thrombogenic and fibrogenic properties. Ten patients with
aneurysmal bone cysts were treated with CT-guided percutaneous injection of Ethibloc into the cyst cavity. Ethibloc injection
was the primary treatment in five patients. Four patients had recurrence following previous curettage and bone grafting and
one patient had not responded to injection into the lesion of autologous iliac crest bone marrow aspirate. Three patients
needed a second injection. The median follow-up was 27 (6–60) months.
Results and conclusion.Symptoms were relieved in all patients. At imaging, seven patients had resolution of the lesion and three had partial response
at the most recent follow-up. Complications consisted of a local transitory inflammatory reaction in two patients and an aseptic
abscess in one patient. This relatively simple, minimally invasive procedure makes an operation unnecessary by stopping the
expansion of the cyst and inducing endosteal new bone formation. This technique may be used as the primary management of aneurysmal
bone cysts excluding spinal lesions.
Received: 19 July 1999 Revision requested: 20 September 1999 Revision received: 9 November 1999 Accepted: 6 December 1999 相似文献
2.
S. Imaizumi Akira Ogose Tetsuo Hotta H. E. Takahashi Iwao Emura 《Skeletal radiology》1999,28(8):473-476
A rare case of solitary infantile myofibromatosis of bone is reported in the right clavicle of a 15-year-old boy. A radiograph
demonstrated an osteolytic lesion with a sharp margin and a sclerotic rim. CT revealed a circumscribed lesion with slight
expansion of the cortex. On MRI the lesion appeared isointense to muscle on T1-weighted images, bright on T2-weighted images,
and showed marked gadolinium enhancement. The patient was well, without evidence of recurrence or metastasis, 4 years and
5 months following resection.
Received: 11 August 1998 Revision requested: 5 October 1998, 18 March 1999 Revision received: 15 March 1999, 23 April 1999
Accepted: 28 April 1999 相似文献
3.
We report the case of a 43-year-old man who presented with an osteolytic and expansive lesion in the left distal femur mimicking
a giant cell tumor. Magnetic resonance imaging (MRI) showed that most of the lesion was cystic, and histological examination
revealed fibrous dysplasia with marked cystic degeneration. Radiographic findings of cystic fibrous dysplasia in the end of
a long bone may be similar to those of a giant cell tumor, and a biopsy is essential for the final diagnosis.
Received: 4 June 1999 Revision requested: 10 August 1999 Revision received: 13 September 1999 Accepted: 15 September 1999 相似文献
4.
An 18-year-old woman presented with left elbow joint pain. Radiographs and computed tomographic scan showed a well-defined
osteolytic lesion of the left ulna associated with a honeycomb appearance on the radiographs. Magnetic resonance images showed
intermediate signal intensity on T1-weighted images and mixed intermediate and high signal intensities on T2-weighted images.
Only the periphery of the lesion enhanced with intravenously injected gadolinium-diethylenetriamine pentaacetic acid. The
lesion was curetted to avoid pathologic fracture, and a histologic diagnosis of cavernous hemangioma of bone was made. Hemangioma
involving the ulna is rare, but should be included in the differential diagnosis of a radiographic osteolytic lesion with
a honeycomb appearance.
Received: 17 September 1999 Revision requested: 31 October 1999 Revision received: 10 December 1999 Accepted: 13 December
1999 相似文献
5.
Primary hyperparathyroidism is rarely caused by carcinoma. We report a patient who manifested many of the clinical and radiographic
features of the disease. When encountering symptomatic hypercalcemia with or without a palpable neck mass, carcinoma should
be considered in the differential diagnosis. Patient survival depends on an aggressive surgical approach to the primary lesion
and recurrent disease.
Received: 27 May 1999 Revision requested: 28 June 1999 Revision received: 22 September 1999 Accepted: 27 September 1999 相似文献
6.
Extraskeletal osteosarcoma arising in myositis ossificans 总被引:5,自引:0,他引:5
A 53-year-old woman had extraskeletal osteosarcoma that developed from a soft tissue bony mass present on the volar aspect
of the left wrist for 4 years. Initially, the bony mass was soft and movable, but during the first year it became hard and
fixed. The patient had no history of trauma. Because the lesion did not grow or cause any symptoms, the patient did not come
to the hospital until 4 years after she first noticed the lesion. Radiologically, the bony mass had features characteristic
of mature myositis ossificans, showing ”eggshell” ossification. A nonmineralized soft tissue mass occurred between the surface
of the radius and the bony shell. Histologically, a high-grade osteosarcoma was present between the surface of the radius
and the well-differentiated bone tissue, which included fatty and hematopoietic marrow. All the findings indicated that our
patient had an extremely rare case of malignant transformation of myositis ossificans.
Received: 22 June 2000 Revision requested: 2 August 2000 Revision received: 14 September 2000 Accepted: 25 September 2000 相似文献
7.
Myxoma of bone, outside of the jaws, is exceptional. We present such a tumor in the humerus and discuss the criteria for the
diagnosis of myxoma.
Received: 10 August 1999 Revision requested: 10 September 1999 Revision received: 14 September 1999 Accepted: 14 September
1999 相似文献
8.
Metadiaphyseal chondroblastoma of the thumb 总被引:1,自引:0,他引:1
Chondroblastoma is typically located in the epiphysis. Predominant metadiaphyseal location is very rare, as is involvement
of the digits. We describe a case of chondroblastoma involving the metadiaphysis of the thumb. The patient was a 13-year-old
boy who presented with pain and swelling of his left thumb. Radiographs showed an expanded lytic lesion involving the whole
metaphysis and diaphysis of the proximal phalanx, which subsequently progressed to involve the epiphysis. Curettage and bone
grafting were done.
Received: 9 July 1999 Revision requested: 12 August 1999 Revision received: 1 November 1999 Accepted: 4 November 1999 相似文献
9.
MR imaging of inflammatory joint diseases of the foot and ankle 总被引:1,自引:1,他引:0
Pain affecting the foot and ankle is a common complaint frequently attributable to inflammatory joint diseases. Although conventional
radiography is regarded as the initial step in the diagnostic investigation, MR imaging may contribute to further evaluation
of these patients due to the direct visualization of the inflammatory soft tissue formed in the disease and its effects on
bone, cartilage and para-articular structures. The high spatial resolution of MR imaging combined with tissue characterization
often allows initial detection of inflammatory joint abnormalities at a stage that precedes radiographic evaluation. The typical
MR appearance of certain inflammatory joint disorders may be helpful in narrowing the wide differential diagnosis. Furthermore,
MR imaging can be used for an exact assessment of the extent of the disorder as well as its complications. Accurate diagnostic
information can guide the clinician in further diagnostic tests and implementation of proper therapeutic treatment.
Received: 12 November 1998 Revision requested: 12 February, 10 June 1999 Revision received: 14 September 1999 Accepted: 20
September 1999 相似文献
10.
Mulier S Stas M Delabie J Lateur L Gysen M Dal Cin P Robberecht C De Wever I 《Skeletal radiology》1999,28(12):703-709
A case of proliferative myositis in the lumbar paraspinal muscles in a 14-year-old boy is presented. Imaging investigations
including plain radiograph, ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), bone scan and positron
emission tomography (PET) were suggestive of an inflammatory process such as myositis ossificans. The diagnosis was made by
incisional biopsy. More pronounced edema, more muscle fiber necrosis and a higher cellularity were found compared to adult
cases. The karyotype of the lesion was normal. Clinically, the mass disappeared spontaneously. After 24 months, asymptomatic
bridging ossification between the third and fourth lumbar vertebrae was noted.
Received: 18 February 1999 Revision requested: 29 March 1999 Revision received: 23 August 1999 Accepted: 24 August 1999 相似文献
11.
Chondromyxoid fibroma is an unusual, benign tumor of cartilaginous origin and represents less than 1% of all primary bone
tumors. It usually involves the long bones around the knee joint or the flat bones of the pelvis or ribs. Soft tissue extension
is also thought to be rare in these lesions. They are usually eccentrically located in the metaphyses of the long bones and
centrally in the flat bones. The radiographic appearances are characteristically those of a single, lytic lesion with lobulated
margins, septations, cortical expansion and a sclerotic rim. Histologically, they display a lobulated pattern with spindle-shaped
cells lying within a myxoid matrix with areas of hyaline cartilage. The differential diagnosis includes giant cell tumor,
chondroblastoma or enchondroma as well as chondrosarcoma. The rarity of these lesions may render the diagnosis difficult to
make, especially when the lesion involves an unusual site such as the acromium.
Received: 21 June 1999 Revision requested: 27 September 1999 Revision received: 27 October 1999 Accepted: 28 October 1999 相似文献
12.
This case report describes a patient with acute retrocalcaneal bursitis, which developed after MRI examination of the ankle.
The sagittal T2*-weighted gradient echo sequence revealed an extensive susceptibility artifact in the area surrounding the
Achilles tendon near its insertion at the os calcis. This artifact was caused by postsurgical metallic particles. We postulate
that these particles were mechanically stimulated by the magnetic field and induced the inflammatory response.
Received: 20 July 1998 Revision requested: 14 September 1998, 16 March 1999 Revision received: 15 February 1999, 20 May
1999 Accepted: 21 May 1999 相似文献
13.
Intraosseous schwannoma (neurilemmoma) is an extremely rare, benign neoplasm, constituting less than 0.2% of primary bone
tumors. It infrequently involves the bones of the hand. We present a case of intraosseous neurilemmoma of the metacarpal.
Received: 26 July 1999 Revision requested: 16 August 1999 Revision received: 16 September 1999 Accepted: 4 October 1999 相似文献
14.
We report a 69-year-old man who suffered an extraosseous tumor of immunoglobulin D myeloma (lambda type) in the shoulder girdle,
mimicking a primary soft tissue sarcoma. The tumor was isointense with adjacent muscle on T1-weighted MR images, and hyperintense
on T2-weighted images. No continuity with the neighboring bone was noted. After administration of gadolinium, the central
part of the tumor showed marked contrast enhancement. Although the tumor showed a complete response to the initial chemotherapy,
the patient died of the disease 31 months after its initial manifestation. Several bone marrow aspirations and biopsies of
the ilium and sternum had shown no increase in plasma cells (range 0.6–1.2%) until the disease became advanced 19 months after
its initial manifestation.
Received: 1 September 2000 Revision requested: 9 October 2000 Revision received: 11 November 2000 Accepted: 15 November 2000 相似文献
15.
A case of ossified leiomyoma of the deep soft tissues of the left thigh is presented. The radiographic appearance suggested
a low-grade chondrosarcoma. MRI of the lesion showed signal characteristics similar to muscle on both T1- and T2-weighted
spin echo sequences with linear areas of high signal intensity on T1-weighted images consistent with medullary fat in metaplastic
bone. Histopathological examination of the resected specimen revealed a benign ossified soft tissue leiomyoma.
Received: 23 December 1998 Revision requested: 31 January 1999 Revision received: 11 March 1999 Accepted: 16 March 1999 相似文献
16.
T. Ishida Motoi Yamamoto Takahiro Goto Hirotaka Kawano Aiichiro Yamamoto Rikuo Machinami 《Skeletal radiology》1999,28(5):290-293
We report on a case of clear cell chondrosarcoma (CCCS) of the left iliac bone in a 12-year-old skeletally immature boy. Radiographic
examination revealed an aggressive osteolytic lesion with areas of mineralization. Fluid-fluid levels were seen on T2-weighted
MR images. Laboratory data showed slight elevation of serum alkaline phosphatase. The biopsy specimen showed histological
features of CCCS with some resemblance to osteosarcoma, such as prominent irregular osteoid formation among clear tumor cells.
Surgical treatment was accomplished without pre- or post-operative chemotherapy. Because of the patient’s age, elevated serum
alkaline phosphatase, and histopathology with prominent osteoid production, this case could be confused with osteosarcoma.
Although CCCS is an extremely rare bone tumor in children, it is important to be aware that it may arise in a skeletally immature
patient. CCCS, unlike osteosarcoma, is not treated with neo-adjuvant chemotherapy.
Received: 13 November 1998 Revision requested: 28 December 1998 Revision received: 11 January 1999 Accepted: 14 January 1999 相似文献
17.
Hierholzer J Tempka A Stroszczynski C Amodio F Hosten N Haas J Felix R 《Neuroradiology》2000,42(5):368-370
We report a case of decompression illness in which the patient developed paraparesis during scuba diving after rapid ascent.
MRI of the spine revealed a focal intramedullary lesion consistent with the symptoms. The pathophysiological and radiological
aspects of spinal decompression illness are discussed.
Received: 2 July 1999/Accepted: 3 September 1999 相似文献
18.
Malignant chondroblastoma presenting as a recurrent pelvic tumor with DNA aneuploidy and p53 mutation as supportive evidence of malignancy 总被引:1,自引:0,他引:1
Ostrowski ML Johnson ME Truong LD Hicks MJ Smith FE Spjut HJ 《Skeletal radiology》1999,28(11):644-650
We report a rare case of malignant chondroblastoma, which presented in a 47-year-old man as a recurrent tumor, 18 years following
wide excision of a typical pelvic chondroblastoma. Radiologic studies of the recurrent tumor showed a large, lytic, destructive
lesion of the right pelvic bones and femur, with a pathologic fracture of the latter, a large pelvic soft tissue mass, and
multiple pulmonary metastases. Biopsy tissue showed typical features of chondroblastoma, but also increased nuclear atypia,
hyperchromasia, and pleomorphism, compared to the original tumor, and, most significantly, abnormal mitotic figures. Immunohistochemical
studies of the recurrent tumor revealed p53 mutation and extensive proliferative activity, and flow cytometric studies showed
DNA aneuploidy, none of which was present in the original tumor. The patient received chemotherapy and radiation, but died
of disease eight months after presentation. We also review chondroblastoma in general, to assign this unusual lesion to a
tumor subtype.
Received: 29 March 1999 Revision requested: 27 April 1999 Revision received: 23 June 1999 Accepted: 29 June 1999 相似文献
19.
We report on a rare manifestation of Erdheim-Chester disease with intramuscular lipogranuloma. The patient was a 66-year-old
man who noted a soft tissue mass in the right quadriceps femoris muscle. Radiographs revealed symmetrical osteosclerosis in
the diametaphysis of both femora and tibiae. An open biopsy revealed a proliferation of lipid-laden histiocytes in the femoral
bone marrow and the quadriceps femoris muscle. To our knowledge, this is the second case of Erdheim-Chester disease involving
muscle.
Received: 4 October 1999 Revision requested: 18 November 1999 Revision received: 1 December 1999 Accepted: 2 December 1999 相似文献
20.
Y.-K. Park Youn-Wha Kim Moon-Ho Yang Eui Jong Kim Dong-Mok Ryu 《Skeletal radiology》1999,28(9):536-539
Intraosseous neurilemmoma is rare, representing less than 1% of benign primary bone tumors. The site most commonly involved
is the mandible. We report on a neurilemmoma of the mandible in a 30-year-old woman. A panoramic radiograph of the mandible
showed a well-defined unilocular osteolytic lesion with a thin uniform sclerotic margin located in the body of the mandible.
The CT scan confirmed a well-defined osteolytic lesion with thinning of the cortex of the body of the left side of the mandible.
Histologically, the lesion was a moderately cellular neoplasm with distinct palisading and numerous Verocay bodies. Ultrastructurally,
the cytoplasmic membranes were distinct and coated by amorphous bands of basal lamina. Complete excision was achieved by removing
the tumor from the inferior alveolar nerve.
Received: 26 February 1999 Revision requested: 29 March 1999 Revision received: 12 April 1999 Accepted: 13 April 1999 相似文献