少见部位骨化性纤维瘤的X线诊断(附11例报告)  

X-ray diagnosis of ossifying fibroma in uncommon locations(with report of 11 cases)

作　　者：尤明春[1] 黄康武[1] 黄中伟[1] 张文[1] 李明安[1] 胡涛[1] 

机构地区：[1]广东省农垦中心医院放射科,524002

出　　处：《影像诊断与介入放射学》2005年第3期186-188,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的探讨发生于少见部位骨化性纤维瘤的X线诊断及鉴别诊断价值。方法回顾性分析经手术病理证实的少见部位的骨化性纤维瘤的X线检查资料11例。结果11例少见部位的骨化性纤维瘤病变位于股骨4例,肱骨2例,胫骨1例,锁骨1例,肩胛骨1例,坐骨1例及耻骨I例。X线主要表现为膨胀性或囊状骨质破坏、边缘有硬化(10/11):内部伴有粗乱骨嵴(7/11);无骨膜反应及软组织肿块;可伴病理性骨折(1/11)。结论X线检查对发生于少见部位骨化纤维瘤的诊断及鉴别诊断有较大的价值。Objective To study the X - ray diagnosis and differential diagnosis of ossifying fibroma in uncommon locations. Methods 11 cases of ossifying fibroma in uncommon locations proved by operation and pathology were analyzed retrospectively. Results The locations of tumor were ： 5 in femur, 2 in humerus, 1 in tibia, 1 in clavicle, 1 in scapula; 1 at ischial tuberosity, and 1 in pubis. The indicative X -ray findings were as follows：expansive and cystic bone destruction with sclerotic margin（10/11）, coarse bony ridges within the lesions（7/11）, and pathological fracture （1/11）. No periosteal reaction and soft tissue mass was revealed in the images. Conclusion The X -ray diagnosis and differential diagnosis can be made correctly in most ossifying fibroma in uncommon locations.

关 键 词：骨化性纤维瘤 X线摄影术 诊断 X线诊断 少见部位 诊断价值 鉴别诊断 回顾性分析 软组织肿块 病理性骨折 

分 类 号：R738.1[医药卫生—肿瘤] R816.8[医药卫生—临床医学]