软骨粘液样纤维瘤的病理及X线诊断  

Pathological and X-ray diagnosis of chondromyxoid fibroma

作　　者：南海龙[1] 李庆金 刘俊文[3] 马克义[4] 

机构地区：[1]河北省职工医学院附属医院,河北保定071000 [2]易县医院,河北易县074200 [3]河北省职工医学院,河北保定071000 [4]保定变压器厂医院,河北保定071000

出　　处：《河北职工医学院学报》2001年第1期16-18,共2页Journal of Hebei Medical College for Continuing Education

摘　　要：目的 :探讨软骨粘液样纤维瘤的病理及X线诊断。方法 :报告经手术病理证实的 4例并结合文献分析 ,其中男 3例 ,女 1例 ,年龄 15～ 49岁 ,平均 2 4岁 ;病史最长者 9年 ,最短者 2年 4个月 ,其中 1例有外伤史。摄X线平片正位、侧位和/或斜位。结果 :2例X线表现为膨胀性粗厚的蜂窝状 ,有“囊套囊”及软组织肿块征象 ,其中 1例伴小点状钙化 ;1例病变近髓腔侧呈扇形增生硬化 ,其内见粗大骨嵴 ,骨皮质变薄似波浪状 ;另 1例呈边缘清楚的“吹气球”样改变 ,均未见骨膜反应。结论 :临床、X线。Objective To study the value of pathological and X-ray diagnosis of chondromyxoid fibroma.Methods Four patients were proved by pathological report and operation.Of those,one was female,the others were men.The mean age of the patients was 24 years old,the youngest was 15 yeras old,the oldest 49 years old.The longest case history was 9 years,the shortest was over 2 years.One patient had a history of injury.Plain films in anterior-posterior,lateral and oblique positions were done in the patients.Results 2 cases showed expansive rough thick and areolar changes in the X-rays,associated with “intracapsular pouch”and sign of soft tissue swelling.One case showed punctate calcification in the X-rays;pathologic changes of a patient happened nearby medullary cavity presented proliferative sclerosis,of which cortex of bone became thin with wave state.One patient's pathologic changes in the X-rays indicated that there were some changes near the edge of medullary cavity,but we did not see any changes in the periost.Conclusion Our results suggest that pathological and X-ray diagnosis combined with clinical diagnosis could be an ideal way to diagnose chondromyxoid fibroma in clinical practices.

关 键 词：软骨粘液样纤维瘤 病理 X线 

分 类 号：R738.3[医药卫生—肿瘤]