骨上皮样血管瘤:一种罕见的血管肿瘤。1例报告及文献回顾。

Olga Savvidou, Penelope Korkolopoulou, Eleftheria Lakiotaki, Spyros Sioutis, Christos Vottis, Panagiotis Gavriil, Dimitra Melissaridou, Panayiotis Papagelopoulos
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引用次数: 0

摘要

骨上皮样血管瘤(EH)是一种罕见的良性血管肿瘤,尽管局部具有侵袭性。它通常是孤立的,累及长管状骨的干骺端或干骺端,特别是在下肢。很少表现为多灶性病变。鉴别诊断包括恶性血管骨肿瘤,如上皮样血管内皮瘤和上皮样血管肉瘤。临床表现、放射学和组织学表现不特异性,诊断主要基于免疫组织化学和分子研究。关于最佳治疗方法尚无共识。刮除、植骨或整体切除是目前的治疗选择,但也有局部复发的报道。我们报告一例胫骨远端、腓骨远端和后足的多灶性EH,患者为38岁男性,采用刮除、射频消融和骨水泥成形术治疗。本文讨论了这种罕见血管性肿瘤的影像学特征、组织学表现和治疗方案。
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Epithelioid Hemangioma of Bone: A Rare Vascular Neoplasm. A Case Report and Literature Review.

Epithelioid hemangioma (EH) of bone is a rare benign, albeit locally aggressive vascular neoplasm. It is usually solitary and involves the metaphysis or diaphysis of long tubular bones, especially in the lower extremities. Rarely it may present as multifocal lesions. The differential diagnosis includes malignant vascular bone tumors such as epithelioid hemangioendothelioma and epithelioid angiosarcoma. Clinical presentation and radiographic and histological findings are not specific and diagnosis is based mostly on immunohistochemical and molecular studies. There is no consensus regarding the optimal treatment. Curettage and bone grafting or en bloc resection are the current treatment options, however local recurrence have been reported. We present a case of multifocal EH of the distal tibia, distal fibula and hindfoot in a 38 year-old male managed with curettage, radiofrequency ablation and cement osteoplasty. The imaging features, histological findings and treatment options of this rare vascular tumor are discussed.

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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
46
期刊介绍: MEDICAL IMPLANTS are being used in every organ of the human body. Ideally, medical implants must have biomechanical properties comparable to those of autogenous tissues without any adverse effects. In each anatomic site, studies of the long-term effects of medical implants must be undertaken to determine accurately the safety and performance of the implants. Today, implant surgery has become an interdisciplinary undertaking involving a number of skilled and gifted specialists. For example, successful cochlear implants will involve audiologists, audiological physicians, speech and language therapists, otolaryngologists, nurses, neuro-otologists, teachers of the deaf, hearing therapists, cochlear implant manufacturers, and others involved with hearing-impaired and deaf individuals.
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