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1.
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
2.
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
3.
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
4.
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
5.
De novo malignant transformation of giant cell tumor of bone 总被引:3,自引:0,他引:3
Marui T Yamamoto T Yoshihara H Kurosaka M Mizuno K Akamatsu T 《Skeletal radiology》2001,30(2):104-108
Two cases of malignant lesions are reported, both of which arose secondary to an originally benign giant cell tumor (GCT)
of bone. The first case was a typical benign GCT, which occurred in the left proximal tibia of a 31-year-old woman. The tumor
was treated by curettage and bone grafting. However, it recurred twice during 15 years of follow-up. The second recurrence
showed that the lesion histologically had turned into malignant fibrous histiocytoma. The second case also started as an initially
benign GCT that arose in the left distal femur of a 41-year-old man. The patient underwent curettage and bone grafting. The
lesion recurred 13 years postoperatively. The histological appearance of the recurrent tumor showed it to be an osteogenic
sarcoma. In both patients, radiation had never been given. Malignant transformation has rarely been reported in patients with
GCT of bone who have not received radiation treatment.
Received: 12 June 2000 Revision requested: 17 August 2000 Revision received: 13 October 2000 Accepted: 18 October 2000 相似文献
6.
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
7.
We present the first reported MR imaging findings of a histologically proven clear cell hidradenoma. A fluid level was noted
on all pulse sequences in this lesion, which demonstrated a prominent hemorrhagic component on sectioning. The presence of
an enhancing nodule was also noted, differentiating this lesion from a post-traumatic hematoma. Fluid levels in a well-defined
subcutaneous soft tissue mass should suggest the possibility of a hidradenoma.
Received: 19 June 1998; Revision requested: 29 July 1998; Revision received: 28 October 1998; Accepted: 29 October 1998 相似文献
8.
Yoshioka H Itai Y Niitsu M Fujiwara M Watanabe T Satomi H Otsuka F 《Skeletal radiology》1999,28(12):714-716
We present a rare case of intramuscular metastasis from malignant melanoma. The lesion showed intermediate to high signal
intensity on T1-weighted magnetic resonance (MR) images and mixed signal intensities containing high and low signals on T2-weighted
images. The signal intensity on T1-weighted images, which is due to the paramagnetic effect of melanin, is a characteristic
MR finding of this entity.
Received: 10 June 1999 Revision requested: 7 July 1999 Revision received: 9 August 1999 Accepted: 9 August 1999 相似文献
9.
H. Taira M. Takasita Seiji Yoshida Hiroshi Tsumura Takehiko Torisu 《Skeletal radiology》1999,28(6):347-349
We report on a rare, calcified, plasma cell tumor of the spine causing progressive myelopathy. Other unusual features were
the lack of an osseous lesion at the site of the mass, considerable calcified amyloid within the mass but no identifiable
amyloid elsewhere, and normal serum immunoelectrophoresis.
Received: 12 February 1999 Revision requested: 18 March 1999 Revision received: 19 April 1999 Accepted: 20 April 1999 相似文献
10.
Popliteal vascular malformation simulating a soft tissue sarcoma 总被引:3,自引:0,他引:3
Nick Wambeek P. L. Munk John X. O’Connell Mark J. Lee Bassam A. Masri 《Skeletal radiology》1999,28(9):532-535
Differentiation of vascular abnormalities from soft tissue sarcomas may be difficult on clinical grounds, but is usually possible
on imaging criteria. We report the MRI and digital subtraction angiography (DSA) findings in a patient presenting with a mass
behind the knee. We discuss differentiating features and review the literature of similar cases.
Received: 28 January 1999 Revision requested: 23 February 1999 Revision received: 29 March 1999 Accepted: 30 March 1999 相似文献
11.
Chondroblastoma is a benign bone tumor that typically arises in the epiphysis of a long bone. However, when it occurs in non-epiphyseal
location in flat bones, it may create a diagnostic problem. We describe such a case of chondroblastoma arising in the iliac
bone. A 29-year-old man was incidentally found to have a bony pelvic lesion while undergoing evaluation for Crohn’s disease.
The radiographs and CT revealed an expansile lytic lesion in the right iliac bone. A core biopsy of the lesion was performed.
The histopathology revealed the lesion to be a chondroblastoma with secondary features of aneurysmal bone cyst. An en bloc
surgical resection of the tumor was performed. 相似文献
12.
P. Potepan Roberto Luksch Gabriella Sozzi Adele Testi Alberto Laffranchi Gian Maria Danesini Antonina Parafioriti Roberto Giardini Ivo Spagnoli 《Skeletal radiology》1999,28(7):415-421
We present a case of multifocal osteosarcoma (MFOS) arising 11.5 years after successful treatment of bilateral retinoblastoma.
The clinical, imaging and pathological findings at onset, after therapy, and during follow-up are described. Fluorescent
in situ hybridization did not reveal a deletion of the RB-1 retinoblastoma gene, although the presence of an inactivating
mutation invisible to this method cannot be ruled out. The MFOS may have been a second multifocal tumor associated with the
original retinoblastoma or a post-irradiation sarcoma with extensive metastases.
Received: 20 November 1998 Revision requested: 5 January 1999 Revision received: 8 March 1999 Accepted: 19 March 1999 相似文献
13.
We present an unusual case of diffuse pigmented villonodular synovitis (PVNS) of the hip presenting as a large retroperitoneal
mass in an asymptomatic 39-year-old man. Initial imaging characteristics and findings on core needle biopsy suggested soft
tissue sarcoma. However, incisional biopsy showed findings of PVNS. The patient underwent radical synovectomy and total joint
replacement, with no change in the large retroperitoneal component after 15 months of follow-up.
Received: 15 June 2000 Revision requested: 8 September 2000 Revision received: 14 March 2001 Accepted: 15 March 2001 相似文献
14.
Osteoblastoma-like osteosarcoma 总被引:1,自引:0,他引:1
We report an osteoblastoma-like osteosarcoma in the right proximal fibula in a 22-year-old woman. Radiographs showed an irregular
osteolytic lesion from the metaphysis to the epiphysis in the proximal fibula with partial destruction of cortical bone. Tissue
from a biopsy indicated a typical osteoblastoma. Curettage and bone graft was performed. One year after the surgery, local
recurrence occurred, and a wide excision was performed. Histological examination of the en-bloc surgical specimen revealed
the tumor had permeated through the host bony trabeculae, although the nuclear atypia was not marked. Immunohistochemical
expression of MIB-1 was detected in 9.0% of cells.
Received: 22 May 2000 Revision requested: 23 June 2000 Revision received: 10 July 2000 Accepted: 13 July 2000 相似文献
15.
Glomus tumor of the trachea 总被引:1,自引:0,他引:1
S. K. Koskinen P. T. Niemi T. O. Ekfors J. Sipilä R. Valavaara P. B. Dean 《European radiology》1998,8(3):364-366
We report a case of a glomus tumor in the trachea which was an incidental finding in a 66-year-old man. The histological
picture and immunohistochemical profile were typical for this tumor. The glomus tumor is an exceedingly rare mass lesion in
the trachea, but it is useful to keep it among differential diagnostic alternatives when a tracheal tumor is seen on radiographs
or endoscopy.
Received 26 May 1997; Revision received 29 July 1997; Accepted 1 August 1997 相似文献
16.
Epithelioid hemangioma of bone 总被引:1,自引:0,他引:1
Epithelioid hemangioma of bone is a rare type of angiomatous tumor. We report a documented case of epithelioid hemangioma
occurring in the distal femur of a 35-year-old man. The clinical, radiographic, MR imaging and histologic findings of the
tumor are described. Radiographs showed a well-defined expanding, osteolytic lesion in the diaphysis of the femur. MR imaging
showed the lesion to have low signal intensity on T1-weighted images and intermediate signal intensity on T2-weighted images.
Grossly the lesion was multiloculated with a dark brown, jelly-like content. To characterize the imaging appearances of epithelioid
hemangioma, we reviewed the available literature on the subject.
Received: 14 February 2000 Revision requested: 28 March 2000 Revision received: 31 May 2000 Accepted: 1 June 2000 相似文献
17.
Synchronous Paget’s sarcoma of tibiae in which Paget’s disease was limited to these bones 总被引:1,自引:0,他引:1
Rafael Bierig Erlich Sergio Romano Walter Meohas Julius Smith 《Skeletal radiology》1999,28(10):599-603
A 51-year-old native of Rio de Janeiro presented with bilateral synchronous Paget’s sarcomas in the tibiae, which developed
in the upper right tibia and in the distal third of the left tibia. There were no other areas of Paget’s disease. The largest
tumor spread to the right inguinal nodes and also soft tissue. The tumor in the left tibia spread dramatically in the soft
tissues up the leg and only involved the medullary cavity in its inferior portion. The patient died, but there was no autopsy.
Comments are made about the prevalence of Paget’s disease in Rio de Janeiro.
Received: 8 April 1999 Revision requested: 10 May 1999 Revision received: 23 June 1999 Accepted: 1 July 1999 相似文献
18.
Vertebral intra-osseous chordoma or giant notochordal rest? 总被引:1,自引:1,他引:0
A. J. Darby V. N. Cassar-Pullicino I. W. McCall D. C. Jaffray 《Skeletal radiology》1999,28(6):342-346
Chordomas of the lumbar vertebral bodies are rare. We report an unusual case of an entirely intra-osseous chordoma of the
fifth lumbar vertebra treated by vertebrectomy. Conventional radiographs and scintigraphy were normal. The lesion was well
visualised by MR imaging, but showed only slight sclerosis on CT. We give our reasons for making a diagnosis of chordoma rather
than giant notochordal rest and discuss the problems of management resulting from this diagnostic dilemma.
Received: 25 February 1999 Revision requested: 2 March 1999 Revision received: 15 March 1999 Accepted: 18 March 1999 相似文献
19.
We present a case of sarcomatoid renal cell carcinoma with multiple sclerotic skeletal metastatic lesions. Renal cell carcinoma
is frequently metastatic at presentation, with a high incidence of skeletal involvement, classically described as osteolytic.
However, sclerotic or osteoblastic metastatic skeletal lesions from renal cell carcinoma are rare, with only two previous
reports identified in the literature, neither of which involved the sarcomatoid variant of renal cell carcinoma. In our case
the sclerotic metastases were characterized by bone scan, computed tomography (CT), magnetic resonance imaging (MRI), and
histologic analysis.
Received: 8 April 1999 Revision requested: 27 May 1999 Revision received: 24 June 1999 Accepted: 29 June 1999 相似文献
20.
Extraskeletal myxoid chondrosarcoma of the knee 总被引:3,自引:0,他引:3
Mark C. Gebhardt Selene G. Parekh Andrew E. Rosenberg Daniel I. Rosenthal 《Skeletal radiology》1999,28(6):354-358
Extraskeletal myxoid chondrosarcoma is an uncommon neoplasm, accounting for less than 2% of all soft tissue sarcomas. It affects
adult males with a median age in the fifth decade at the time of diagnosis. The tumor usually arises in the deep soft tissues,
especially in the lower extremities. Patients present with a gradually enlarging mass that may or may not be associated with
pain. This report describes a 25-year-old man who initially presented with a 4- to 5-year history of right knee pain and an
enlarging mass in the right knee. Evaluation revealed a cartilaginous neoplasm with no evidence of metastatic disease. The
tumor was widely excised and an allograft reconstruction was performed. The patient was closely followed with an eventual
above the knee amputation for recurrent myxoid chondrosarcoma. At 34 months, retroperitoneal metastases were noted on abdominal
CT. The patient underwent a left radical nephrectomy, renal vein thrombectomy and enucleation of the mass in the right kidney,
distal pancreatectomy, and splenectomy. The patient received postoperative chemotherapy. Forty-eight months after initial
diagnosis, the patient was found to have recurrent abdominal and retroperitoneal lesions. At 64 months, the patient died from
complications of extraskeletal myxoid chondrosarcoma.
Received: 6 July 1998 Revision requested: 7 August 1998 Revision received: 29 January 1999 Accepted: 3 February 1999 相似文献