背景:骨瘤无症状,良性肿瘤,并通过其他原因进行的放射学检查意外诊断。在某些情况下,它们可能通过影响附近的器官而引起美学或功能症状。骨瘤的原因仍然是辩证的。许多理论认为炎症,创伤,或先天原因是其形成的背后。在我们的案例中,该患者出现了18年前由创伤引起的额顶骨有症状和巨大的骨瘤。
方法:一名24岁的叙利亚妇女来到我们医院,抱怨头痛,晕厥发作,视力模糊,和额顶区域的肿瘤形成。患者的医疗和手术史显示,当她6岁时发生交通事故时,阑尾切除术和头部外伤。放射学检查显示左额顶区域两个骨板之间的空间厚度,到达眶顶,无皮质破坏或骨膜反应;肿瘤大小为5cm×5cm。需要进行手术切除。在全身麻醉下,手术是为了切除肿瘤.组织病理学检查强调骨瘤的诊断。7个月的随访顺利。
结论:本文强调了关注骨瘤患者病史的重要性,以试图解释其发生的原因。它强调需要将骨瘤纳入颅骨肿瘤的鉴别诊断范围。
BACKGROUND: Osteomas are asymptomatic, benign tumors and are diagnosed accidentally by radiological investigations conducted for other reasons. In some cases, they may cause aesthetic or functional symptoms by affecting nearby organs. The cause of osteoma is still dialectical. Many theories suggest that inflammation, trauma, or congenital causes are behind its formation. In our case, the patient presented with a symptomatic and huge osteoma in the frontoparietal bone caused by trauma from 18 years ago.
METHODS: A 24-year-old Syrian woman came to our hospital complaining of headaches, syncope episodes, blurred vision, and tumor formation in the frontoparietal region. The medical and surgical histories of the patient revealed appendectomy and head trauma when she was 6 years old in a traffic accident. Radiological investigations showed thickness in the space between the two bone plates in the left frontoparietal region, which reached the orbital roof without cortical destruction or periosteum reaction; the tumor size was 5 cm × 5 cm. A surgical excision was indicated. Under general anesthesia, the surgery was done for the tumor excision. The histopathology examination emphasized the diagnosis of osteoma. The follow-up for 7 months was uneventful.
CONCLUSIONS: This paper highlights the importance of focusing on the medical history of patients with osteoma in an attempt to explain the reasons for its occurrence. It stresses the need to put osteoma within the differential diagnoses of skull tumors.