关键词: benign bone tumor fibrous dysplasia monostotic synthetic bone graft tibia

来  源:   DOI:10.7759/cureus.56052   PDF(Pubmed)

Abstract:
A rare benign bone condition called monostotic fibrous dysplasia (MFD) is characterized by the growth of fibrous tissue in place of a normal bone. It may lead to deformity in the affected bone, pain, and a pathologic fracture due to bone weakness. Hereunder, a case report of MFD in a 17-year-old male adolescent presenting to the hospital with localized bone pain and swelling in his right tibia is presented. After clinical examination and radiographic imaging, a provisional diagnosis of benign osteolytic lesion was considered. A magnetic resonance imaging (MRI) scan of the leg suggested the possibility of fibrous dysplasia or adamantinoma. The patient was managed with an intralesional curettage of the dysplastic bone and packing the cavity with blocks of a synthetic bone. The excised material was sent for histopathology, which established the diagnosis of fibrous dysplasia.
摘要:
一种罕见的良性骨疾病,称为单骨纤维发育不良(MFD),其特征是纤维组织代替正常骨生长。它可能导致受影响的骨骼畸形,疼痛,和由于骨骼无力导致的病理性骨折。以下,报告1例17岁男性青少年MFD患者,他的右胫骨出现局部骨痛和肿胀.经过临床检查和影像学检查,考虑了良性溶骨性病变的临时诊断。腿部的磁共振成像(MRI)扫描提示可能存在纤维发育不良或金刚烷胺瘤。患者接受了增生异常骨的病灶内刮除术,并用合成骨块填充空腔。切除的材料被送去进行组织病理学检查,确定了纤维发育不良的诊断。
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