右脚骨软骨瘤1例报告

Joseph Sajeev, J. Cherian, Jerin Jeevo, Ken Philip
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摘要

骨软骨瘤被认为是良性骨肿瘤,但实际上是发育缺陷。长管状骨可能是无梗的或有梗的,在x光片上可以看到有软骨覆盖的外生物。此外,软骨帽会变硬。任何影像学改变都强烈提示软骨肉瘤,特别是边界发育不清和软骨帽增厚150mm。发病隐匿,进展缓慢,缺乏加重或减轻变量,这是一名21岁男性患者的主述,过去两年右脚背部肿胀和疼痛。检查后,右脚背部有一个牢固的,不规则形状的5至6厘米的肿胀,与下面的骨头相连。:大多数良性骨肿瘤,占所有良性骨肿瘤的36%至41%,是传统的骨软骨瘤。骨软骨瘤在足部和踝关节区域并不常见,但如果在这些区域出现较大的骨软骨瘤并干扰功能,则应将其切除。病变的大小、软组织的受累程度、软骨帽的深度和位置都可以在MRI上看到,这对有症状或令人担忧的骨软骨瘤的检查很有帮助。从组织学上看,骨软骨瘤的帽由透明软骨组成,分化良好的细胞被软骨基质大量分隔开来,在帽的最深处呈柱状排列,类似于骨骺生长板。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Right foot – osteochondroma - A case report
Osteochondromas are thought of as benign bone tumours, however they are actually developmental defects.A long tubular bone that may be sessile or pedunculated has an outgrowth with cartilage covering it that is visible on radiographs. Additionally, the cartilage cap can harden. Any changes in radiological appearance are strongly indicative of chondrosarcoma, particularly those with ill-defined border development and thickening of the cartilage cap >15 mm.: An insidious onset, slow progression, and lack of aggravating or alleviating variables were all complaints made by a 21-year-old male patient with swelling and pain across the right foot dorsal side for the past two years Upon examination, there was a firm, irregularly shaped, 5 to 6 cm swelling over the dorsal part of the right foot that was attached to the underlying bone.: The majority of benign bone tumours, or 36% to 41% of all benign bone tumours, are conventional osteochondromas. Osteochondromas are uncommon in the foot and ankle regions, but if a big osteochondroma develops in these areas and is interfering with function, it should be removed. The amount of the lesion, any soft tissue involvement, and the depth and placement of the cartilage cap can all be seen on an MRI, which is helpful in the workup of an osteochondroma that is symptomatic or worrisome.According to histology, the osteochondroma's cap is made of hyaline cartilage, with well-differentiated cells abundantly spaced out by cartilage matrix and oriented in columns that mimic the epiphyseal growth plate in the deepest levels of the cap.
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