Cartilaginous

软骨
  • 文章类型: Case Reports
    软组织软骨瘤很少见,良性软骨肿瘤主要影响四肢,通常在没有明确性别偏爱的中年人中被诊断出来。尽管它们是良性的,由于生长缓慢,这些肿瘤可能会带来重大的诊断挑战,无症状性质,和模仿其他软组织肿瘤的潜力。
    我们报告一例27岁的男性,有8年的历史,在左脚第二脚趾的背侧有逐渐扩大的肿块,导致疼痛,行走困难,穿着鞋子。初步临床检查显示,患处无触痛肿胀,感觉减退。影像学检查结果表明软组织肿块伴有点状钙化,而磁共振成像显示,毗邻但并非由骨骼引起的信号强度病变较大。细针穿刺细胞学检查提示良性混合性肿瘤/软骨样汗管瘤。进行了切除活检,显示一个界限清楚的肿瘤,具有成熟透明软骨的小叶,与软组织软骨瘤的诊断一致。术后恢复顺利,除了局部皮瓣坏死通过植皮治疗。随访1年无复发。
    软组织软骨瘤,虽然罕见且良性,会显著影响患者的生活质量。正确诊断,包括全面评估和组织病理学确认,对于有效管理和预防不必要的干预措施至关重要。这个案例增加了对临床表现的宝贵见解,诊断挑战,软组织软骨瘤的管理策略。
    UNASSIGNED: Soft-tissue chondromas are rare, benign cartilaginous tumors predominantly affecting the extremities, often diagnosed in middle-aged individuals without a clear sex predilection. Despite their benign nature, these tumors can pose significant diagnostic challenges due to their slow growth, asymptomatic nature, and potential for mimicking other soft-tissue tumors.
    UNASSIGNED: We report a case of a 27-year-old male with an 8-year history of a progressively enlarging mass on the dorsal aspect of the second toe of the left foot, leading to pain, difficulty in walking, and wearing shoes. Initial clinical examination revealed a firm, non-tender swelling with hypoesthesia over the affected area. Radiographic findings suggested a soft-tissue mass with stippled calcification, while magnetic resonance imaging indicated a large altered signal intensity lesion abutting but not arising from the bone. Fine needle aspiration cytology hinted at a benign mixed tumor/chondroid syringoma. An excisional biopsy was performed, revealing a well-circumscribed tumor with lobules of mature hyaline cartilage, consistent with a diagnosis of soft-tissue chondroma. Post-operative period recovery was uneventful except for local flap necrosis which was managed with skin grafting. There was no recurrence at the 1-year follow-up.
    UNASSIGNED: Soft-tissue chondromas, while rare and benign, can significantly impact patients\' quality of life. Correct diagnosis, involving a comprehensive evaluation and histopathological confirmation, is crucial for effective management and prevention of unnecessary interventions. This case adds valuable insight into the clinical presentation, diagnostic challenges, and management strategies for soft-tissue chondromas.
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  • 文章类型: Journal Article
    射频消融(RFA)是一种微创技术,已在临床实践中得到认可,用于治疗软骨母细胞瘤。尽管刮骨植骨是标准治疗方法。软骨母细胞瘤是一种局部侵袭性软骨骨肿瘤,占良性骨肿瘤的近5%。软骨母细胞瘤表现出对长骨骨的骨phy或骨的偏爱,但在椎骨和扁平骨头中也有报道。软骨母细胞瘤的治疗可能是具有挑战性的,因为它有损伤骨phy板或位置困难的风险。这项研究的目的是确定RFA是否是骨移植刮除术治疗软骨母细胞瘤的合适替代方法。此外,将评估RFA在症状缓解方面的有效性;我们还定义了用RFA治疗的病变的适当大小,并讨论手术后的并发症,包括复发率。此外,我们回顾了评估RFA治疗反应和消融后早期残留疾病检测的最佳影像学方法.全面的PubMed和GoogleScholar搜索遵循了系统审查和荟萃分析2020清单指南的首选报告项目。在查阅了9篇文章的可用全文后,确定了97名患者。本综述的结果提供了进一步的证据来支持使用RFA作为手术的替代选择。
    Radio frequency ablation (RFA) is a minimally invasive technique that has become recognized in clinical practice for treating chondroblastoma, although curettage with bone graft is the standard treatment. Chondroblastoma is a locally aggressive cartilaginous bone tumor, representing nearly 5% of benign bone tumors. Chondroblastoma shows a preference toward the epiphysis or apophysis of long bones, but it was also reported in vertebrae and flat bones. The management of chondroblastoma could be challenging due to the risk to injure the epiphyseal plate or difficult location. The aim of this study was to determine if RFA is a suitable alternative to curettage with bone graft for the treatment of chondroblastoma. Moreover, there will be an evaluation of RFA\'s effectiveness in terms of symptoms relief; we also define the proper size of the lesion to be treated with RFA, and discuss the complications after the procedure, including the recurrence rate. Furthermore, we review the best imaging method to evaluate the therapeutic response of RFA and for the detection of residual disease early after the ablation. A comprehensive PubMed and Google Scholar search followed the Preferred Reporting Items for Systematic Review and Meta-Analysis 2020 checklist guidelines. Ninety-seven patients were identified after reviewing the available full texts of nine articles. The results of the current review provide further evidence to support the use of RFA as an alternative option to surgery.
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  • 文章类型: Case Reports
    软骨肉瘤是罕见的恶性软骨肿瘤,影响成人和老年患者。骨盆和长骨是最常见的位置。我们区分了从先前存在的正常骨(原发性软骨肉瘤)或在先前存在的病变内,如软骨瘤或骨软骨瘤(继发性软骨肉瘤),软骨肉瘤的其他罕见亚型包括透明细胞软骨肉瘤,去分化软骨肉瘤,和间叶性软骨肉瘤,这将被单独考虑。尽管根据解剖范围有不同的临床表现,软骨肉瘤的影像学特征非常具有特征性,通常包括骨扩张和异质钙化的组合。我们报告了一例56岁的男性,其固定肿块粘附在右耻骨上。MRI显示右耻骨上支溶解性病变,手术活检有利于软骨肉瘤,随后在Pfannenstiel入路后进行整块切除术,随访3年后无任何复发.
    Chondrosarcomas are rare malignant cartilaginous tumor affecting adult and elderly patient. Pelvic and long bones are the most common location. We differentiate conventional chondrosarcoma which arises do novo from preexisting normal bone (primary chondrosarcoma) or within a preexisting lesion such as enchondromas or osteochondromas (secondary chondrosarcoma), Other rare subtypes of chondrosarcoma include clear cell chondrosarcoma, dedifferentiated chondrosarcoma, and mesenchymal chondrosarcoma, which will be considered separately. Although there are diverse clinical presentations depending on the anatomic extend, radiographic features of chondrosarcoma are very characteristic comprising frequently a combination of bone expansion and heterogeneous calcifications. We report a case of a 56-year-old male suffering from fixed mass adhering to the right pubic bone. MRI views showed a lytic lesion of right superior pubic rami, surgical biopsy was in favor of chondrosarcomas, then an en bloc resection was performed following a Pfannenstiel approach without any recurrence after three years of follow-up.
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  • 文章类型: Journal Article
    这项实验研究确定了无线电元素阵列的内部分布(54Mn,60Co,65Zn,134Cs,241Am,109Cd,110mAg,75Se和51Cr)由三种软岩鱼类(Scyliorhinuscanicula(狗鱼)从海水中积累,Rajaundulata(波状射线)和鱼雷(斑点鱼雷)和三种硬骨鱼(大菱螺(大菱螺),Sparusaurata(seabream)和Dicentrarchuslabrax(seabass))。该研究检验了以下假设:软骨鱼(软骨)鱼类分类群和硬骨鱼(骨)鱼类分类群在六个身体成分(头,消化道,肝脏,肾脏,皮肤和肌肉),与他们长期的进化分歧相一致。每个放射性元素的两个分类单元与整个放射性元素之间的身体成分CFs的比较显示,每个身体成分中的软骨和骨鱼之间存在高度显着差异(p≤0.001),证实了强烈而普遍的系统发育信号的存在;然而,这些差异的最决定性因素的放射性元素子集对于每个身体成分都是唯一的.三个单独的骨物种和三个单独的软骨物种之间的分配也在它们的身体成分中反复发生,特别是对于骨鱼。对于两种鱼类分类群,这些放射性元素在身体成分之间的分布通常是高度异质的。
    This experimental study determined internal distributions of an array of radio-elements (54Mn, 60Co, 65Zn, 134Cs, 241Am, 109Cd, 110mAg, 75Se and 51Cr) accumulated from seawater by three chondrichthyan fish species (Scyliorhinus canicula (dogfish), Raja undulata (undulate ray) and Torpedo marmorata (spotted torpedo)) and three teleost species (Scophthalmus maximus (turbot), Sparus aurata (seabream) and Dicentrarchus labrax (seabass)). The study tested the hypothesis that the chondrichthyan (cartilaginous) fish taxon and teleost (bony) fish taxon have different patterns of bioaccumulation of these radio-elements in six body components (head, digestive tract, liver, kidneys, skin and muscle), consistent with their long period of evolutionary divergence. Comparisons of body component CFs between the two taxa for each radio-element and the full array of radio-elements showed highly significant differences (p ≤ 0.001) between cartilaginous and bony fishes in each body component, confirming the existence of a strong and pervasive phylogenetic signal; however, the subset of radio-elements most determinant of these differences were unique for each body component. Partitioning between the three individual bony species and the three individual cartilaginous species also occurred repeatedly among their body components, particularly for bony fishes. Distributions of these radio-elements among body components were typically highly heterogeneous for both fish taxa.
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  • 文章类型: Case Reports
    在老鼠身上,据报道,软骨肉瘤自发发生和继发于化学诱导。在罕见的情况下,在年轻雄性Wistar大鼠的变形股骨中发现了自发性软骨肉瘤。股骨和膝关节大体检查后,收集组织并保存。福尔马林固定的组织脱钙,包埋在石蜡中,分段,并用苏木精和伊红染色。显微镜检查显示,高度增殖,股骨中软骨细胞或软骨母细胞起源的非包膜生长,增殖的软骨细胞以浸润的生长方式侵入骨骼和周围组织。根据其组织形态特征,该病变被诊断为自发起源的恶性软骨肿瘤。
    In rats, chondrosarcomas have been reported to occur both spontaneously and secondary to chemical induction. In a rare case, a spontaneous chondrosarcoma was identified in the deformed femur of a young male Wistar rat. After gross examination of the femur and knee joint, tissue was collected and preserved. The formalin-fixed tissue was decalcified, embedded in paraffin, sectioned, and stained with hematoxylin and eosin. Microscopic examinations revealed a large, highly proliferative, noncapsulated growth of chondrocytic or chondroblastic origin in the femoral bone, with proliferating chondrocytes invading the bone and surrounding tissues in an infiltrative growth pattern. Based on its histomorphological features, the lesion was diagnosed as a malignant cartilaginous neoplasm of spontaneous origin.
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  • 文章类型: Case Reports
    软骨肿瘤是常见的肿瘤,几乎可以累及任何骨骼,很少在颌面部区域发现。这些肿瘤可能具有不同的表现,从简单的内生软骨瘤到高级骨肉瘤或软骨肉瘤。据报道,由于它们的膜状发育,它们通常发生在颌骨的软骨承载区域,例如下颌骨的髁突过程。本文旨在介绍最罕见的下颌体内生软骨瘤病例,据作者所知,到目前为止,文献中还没有报道。
    Cartilaginous tumors are commonly encountered tumors that can involve almost any bone and very rarely found in the maxillofacial region. These tumors may have varied presentations ranging from a simple enchondroma to a high-grade osteo or chondrosarcoma. Owing to their membranous development they are reported to occur usually in the cartilage bearing areas of the jaws like condylar process of the mandible. This article is intended to present a rarest of rare case of enchondroma of the mandibular body which to the best knowledge of authors\', is not reported in the literature so far.
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  • 文章类型: Case Reports
    Intracranial chondromas are extremely rare, benign slow-growing cartilaginous tumors mostly originating from embryonic rests at sphenoethmoidal region and sometimes can originate from the falx, convexity dura, the tentorium, the choroid plexus, or the brain parenchyma. In this article, we present a 22-year-old woman with a chondroma of dural origin. The clinical, radiological, and histopathological findings along with the operative findings and postoperative course are described as well as the pertinent literature regarding intracranial chondromas is reviewed.
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  • 文章类型: Case Reports
    绒毛膜瘤是在异常位置的正常细胞或组织的增殖。口腔软组织的绒毛瘤是罕见的病变。不同的组织可以作为脉络膜瘤出现在口腔中。它可以是软骨,骨头,唾液腺,神经胶质和甲状腺组织。伴有软骨组织增生的脉络膜瘤称为软骨性脉络膜瘤。在口腔中,它们最常见于舌头,其次是颊粘膜和软腭。我们报告了一例40岁的女性,在舌头的左侧边界上表现出硬叶状肿胀。进行了细针抽吸细胞学检查,仅显示粘液样基质。同样的切除标本的组织病理学检查显示成熟透明软骨的小叶。因此,诊断为软骨性脉络膜瘤。
    Choristomas are proliferation of normal cells or tissue in an abnormal location. Choristomas of oral soft tissue are rare lesions. Different tissues can occur in the oral cavity as choristomas. It can be cartilage, bone, salivary gland, glial and thyroid tissue. Choristomas with the proliferation of chondroid tissue are termed as cartilaginous choristomas. In oral cavity, they are most frequently seen in tongue followed by buccal mucosa and soft palate. We report a case of 40-year-old female presenting with hard lobulated swelling on the left lateral border of the tongue. Fine-needle aspiration cytology was performed which showed only myxoid stroma. Histopathological examination of excised specimen of the same showed lobules of mature hyaline cartilage. Thus, a diagnosis of cartilaginous choristoma was made.
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  • 文章类型: Case Reports
    Gingival masses are commonly encountered in clinical practice and can be a result of many conditions one of them could be metaplasia. Metaplasia is defined as the replacement of the lining of an organ with the type of lining normally found at another site. We are reporting a case of a 17-year-old Mexican male who presented with a pedunculated nodule associated to maxillary anterior gingiva. The histopatological examination revealed a chondroid material covered by stratified squamous epithelium and was diagnosed as chondroid metaplasia.
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  • 文章类型: Case Reports
    tarsal联盟是指纤维,两骨之间的软骨或骨性融合。常见的是足骨和跟骨关节。Talonavoil,跟骨和立方骨联盟是非常罕见的。跟骨和跟骨关节通常是有症状的,而距骨关节是无症状的。特殊视图射线照相术,根据联盟的性质,CT和MRI将有助于诊断联盟。在这个案例报告中,我们介绍了24岁的男性患者,在同侧一侧罕见地合并了距骨和距骨联盟。患者还在距骨下关节处显示距骨喙征和关节炎改变。考虑到第一次到医院就诊和症状较轻,我们用短腿石膏和足部矫形器保守治疗病人。随着治疗的进程,症状明显缓解。
    Tarsal coalitions refer to fibrous, cartilaginous or osseous fusion between two tarsal bones. Commonly seen are talocalcaneal coalitions and calcaneonavicular coalitions. Talonavicular, calcaneocuboid and cubonavicular coalition are very uncommonly seen. Talocalcaneal and calcaneonavicular coalitions are generally symptomatic whereas talonavicular coalitions are asymptomatic. Special view radiography, CT and MRI will be helpful in diagnosing coalitions depending on nature of coalitions. In this case report, we present 24-year-old male patient with rare combination of talocalcaneal and talonavicular coalition on ipsilateral side. Patient also showed talar beak sign and arthritic changes at subtalar joint. Considering first time presentation to hospital and milder symptoms, we treated patient conservatively with short leg cast and foot orthoses. With course of treatment, symptoms were relieved significantly.
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