PDF(Pubmed)
Abstract：
We present an unusual case of a woman in her early 50s with a slow-growing calvarial exostosis. Exostoses are bony spurs or osteomas extending outward beyond a bone\'s surface and may be benign or malignant. Calvarial exostoses are a less common bone tumor that can occur in the population. We present a case of a rare, slow-growing calvarial exostosis with a combination of mandibular tori and a congenital iris cyst. We discuss differentials of this exostosis and different syndromes that may cause it such as hereditary multiple exostoses and Gardner syndrome. The current article aims to spread awareness of this atypical presentation of exostoses and present our institution\'s surgical proposition for removing a calvarial exostosis to obtain a further histological analysis of its composition. As these masses may commonly be benign, a definitive diagnosis cannot be made through imaging alone to rule out more threatening conditions. We have addressed radiological findings and diagnostic and treatment options offered to the patient. The patient decided not to move forward with removing the mass and would continue to monitor and return should she notice any unusual or acute changes.
摘要：
我们提出了一个不寻常的病例，即50多岁的女性患有缓慢增长的颅骨外生症。外生症是向外延伸超过骨表面的骨刺或骨瘤，可能是良性或恶性的。颅骨外生症是一种不太常见的骨肿瘤，可在人群中发生。我们提出了一个罕见的案例，生长缓慢的颅骨外生症，伴有下颌托和先天性虹膜囊肿。我们讨论了这种外生体的差异和可能导致其的不同综合征，例如遗传性多发性外生体和Gardner综合征。本文旨在传播对这种非典型的骨外生骨外生的认识，并提出我们机构的手术建议，以去除颅骨外生骨外生骨，以对其成分进行进一步的组织学分析。因为这些肿块通常是良性的，仅通过影像学检查无法排除更具威胁性的疾病.我们已经解决了放射学发现以及为患者提供的诊断和治疗选择。患者决定不继续去除肿块，如果发现任何异常或急性变化，将继续监测和返回。
