模仿腰椎间盘突出症的坐骨神经炎性肌纤维母细胞瘤:诊断难题。

IF 2.1 Q3 ONCOLOGY
World Journal of Oncology Pub Date : 2024-06-01 Epub Date: 2024-04-15 DOI:10.14740/wjon1777
Chang Jun Chen, Jun Feng Yin, Jing Wen Zhao, Xin Zhao, Hao Xuan Zhang, Meng Chen, Da Yong Peng
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引用次数: 0

摘要

炎性肌纤维母细胞瘤(IMTs)是一种纤维母细胞和肌纤维母细胞混合增殖并伴有炎性浸润的肿瘤,在四肢中极为罕见。目前还没有涉及坐骨神经的坐骨神经瘤的报道。这种类型的受累可能会导致坐骨神经卡压,其症状可能与腰椎间盘突出症(LDH)相似,尤其是发生在腰椎间盘退行性疾病患者身上时。我们描述了一例 40 岁男性患者的病例,他患有腰椎间盘退行性病变并伴有坐骨神经 IMT,其症状与 LDH 相似,给诊断带来了挑战。我们展示了该病的病程以及累及坐骨神经的IMT的系统影像学表现,并讨论了其治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Inflammatory Myofibroblastic Tumor of the Sciatic Nerve Mimicking Lumbar Disc Herniation: A Diagnostic Challenge.

Inflammatory myofibroblastic tumors (IMTs), which involve the proliferation of fibroblastic-myofibroblastic cells mixed with inflammatory infiltrates, are exceedingly rare in the extremities. There are no reported IMTs involving the sciatic nerve. This type of involvement may cause entrapment of the sciatic nerve, whose symptoms may mimic lumbar disc herniation (LDH), especially when it occurs in patients with lumbar degenerative disc disease. We describe the case of a 40-year-old male with lumbar degenerative disc disease accompanied by IMT involving the sciatic nerve whose symptoms mimicked LDH and posed a diagnostic challenge. We showed the course of the disease as well as the systematic imaging manifestations of IMTs involving the sciatic nerve and discussed their therapeutic management.

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来源期刊
CiteScore
6.10
自引率
15.40%
发文量
37
期刊介绍: World Journal of Oncology, bimonthly, publishes original contributions describing basic research and clinical investigation of cancer, on the cellular, molecular, prevention, diagnosis, therapy and prognosis aspects. The submissions can be basic research or clinical investigation oriented. This journal welcomes those submissions focused on the clinical trials of new treatment modalities for cancer, and those submissions focused on molecular or cellular research of the oncology pathogenesis. Case reports submitted for consideration of publication should explore either a novel genomic event/description or a new safety signal from an oncolytic agent. The areas of interested manuscripts are these disciplines: tumor immunology and immunotherapy; cancer molecular pharmacology and chemotherapy; drug sensitivity and resistance; cancer epidemiology; clinical trials; cancer pathology; radiobiology and radiation oncology; solid tumor oncology; hematological malignancies; surgical oncology; pediatric oncology; molecular oncology and cancer genes; gene therapy; cancer endocrinology; cancer metastasis; prevention and diagnosis of cancer; other cancer related subjects. The types of manuscripts accepted are original article, review, editorial, short communication, case report, letter to the editor, book review.
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