肌内血管瘤:一种罕见的肌痛原因
Pedro M Guedes1, Nuno A Saldanha1, Pedro M Matos1
1Medicina do Trabalho, Centro Hospitalar de Medicina do Trabalho, Centro Hospitalar Universitário São João, Serviço de Saúde Ocupacional, Porto, Portugal.
Revista brasileira de ortopedia
|September 4, 2023
概括
肌内血管瘤 (IHs),罕见的软组织瘤,可以导致慢性肌肉骨疼痛. 早期的MRI诊断对于有效管理这些良性瘤至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 肌内血管瘤 (IHs) 是一种罕见的良性软组织瘤,占所有血管瘤的不到1%.
- 它们在肌肉骨疼痛的差异诊断中很少被考虑,特别是在成年人中.
- IHs可以呈现为症状性质量,导致疼痛和功能限制.
研究的目的:
- 要突出考虑肌内血管瘤在无法解释的慢性四肢疼痛的差异诊断的重要性.
- 在成年患者中呈现症状性肌内血管瘤的病例.
- 强调磁共振成像 (MRI) 对心脏病的诊断效用.
主要方法:
- 一个38岁的妇女的病例报告,她有8个月的左肩疼痛和可触摸的质量.
- 临床检查显示了有限的肩部绑架.
- 诊断工作包括磁共振成像 (MRI) 和随后的活检.
主要成果:
- 核磁共振扫描 (MRI) 检测到,在状肌肉内,有一个精确的结节形成.
- 活检证实了肌内血管瘤的诊断.
- 患者被转诊进行硬化疗法治疗.
结论:
- 肌内血管瘤,虽然通常在年轻患者中见到,但应考虑在慢性四肢疼痛不响应保守治疗的成年人.
- 磁力共振成像是诊断IH的黄金标准成像模式,通常避免了活检的需要.
- 及时诊断和适当的治疗,如硬化疗法,对于症状性IHs至关重要.
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