骨的多焦点上皮层血管瘤 - 一个罕见的实体
Bibhudutta Malla1, B Rajeev Reddy1, Shantveer Uppin2
1Department of Orthopaedic Oncology, Apollo Cancer Centres, Hyderabad, Telangana, India.
Journal of orthopaedic case reports
|November 11, 2024
概括
表皮状血管瘤 (EHs) 是一种罕见的,局部具有攻击性的血管骨瘤. 本案例报告详细介绍了多焦点EH在手和手腕的成功管理,使用切和骨移植.
科学领域:
- 整形外科手术 整形外科手术
- 血管损伤 血管损伤
- 在瘤学瘤学.
背景情况:
- 表皮状血管瘤 (EHs) 是一种罕见的血管瘤,通常会影响皮肤和软组织.
- 虽然通常是良性的,但EHs可以表现出中等级的,局部具有侵略性的行为.
- 由于令人困惑的临床放射学和组织病理学特征,诊断具有挑战性.
研究的目的:
- 报告一种罕见的多焦点上皮状血管瘤病例,涉及手和手腕的多个骨头.
- 为了突出诊断挑战和成功管理这种罕见的骨瘤.
- 强调在攻击性骨病变的差异诊断中考虑EH的重要性.
主要方法:
- 一名32岁的男性,患有多焦点上皮状血管瘤的演示.
- 涉及远半径,手腕骨 (形,形,头骨) 和手腕下部与软组织延伸.
- 通过内延长切和骨移植进行治疗.
主要成果:
- 这名患者出现了多焦点上皮状血管瘤,影响了远距离半径,手骨和手后骨.
- 观察到周围广泛的软组织参与.
- 患者在损伤内延长切和骨移植后仍然没有疾病.
结论:
- 表皮状血管瘤是一种罕见的差异诊断,用于局部具有侵略性的形骨病变.
- 考虑EH有助于骨科外科医生和瘤外科医生在准确的诊断和管理.
- 成功的手术管理可以为患有骨质EHs的患者带来良好的结果.
相关概念视频
Bone as Supporting Connective Tissue
Bone tissue forms the internal skeleton of vertebrate animals, providing structure to the body.
Bone Matrix
Bone, or osseous tissue, is a connective tissue that has a large amount of two different types of matrix material. The organic matrix is similar to the matrix material found in other connective tissues, including some amount of collagen and elastic fibers. This gives strength and flexibility to the tissue. The inorganic matrix consists of mineral salts— mostly calcium salts— that give the...
Bone Matrix
Bone, or osseous tissue, is a connective tissue that has a large amount of two different types of matrix material. The organic matrix is similar to the matrix material found in other connective tissues, including some amount of collagen and elastic fibers. This gives strength and flexibility to the tissue. The inorganic matrix consists of mineral salts— mostly calcium salts— that give the...
Bone Markings
Bones have various surface features that help form joints and attach to other soft tissues. Depending on the function, bone markings are categorized into articulating projections, processes for attachment, depressions, and openings.
Articulating Projections
Articulating projections are found where two bones meet to form a joint. These structures are usually found at the ends of bones. The largest articulation is a rounded projection called the head, supported by a narrow neck at the ends of...
Articulating Projections
Articulating projections are found where two bones meet to form a joint. These structures are usually found at the ends of bones. The largest articulation is a rounded projection called the head, supported by a narrow neck at the ends of...
Blood and Nerve Supply to the Bones
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Bone Disorders
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Spongy Bone
All bones comprise an outer layer of compact bone, and an interior made up of spongy bone tissue, also called cancellous or trabecular bone. In long bones, spongy bone tissue is mainly found in the interior of the epiphyses (broad ends of the bone).
Spongy bone is more porous, and less dense compared to compact bone. It is composed of concentric lamellae that are arranged irregularly to form the trabecular network. In some bones, the spaces between trabeculae contain red marrow, where...
Spongy bone is more porous, and less dense compared to compact bone. It is composed of concentric lamellae that are arranged irregularly to form the trabecular network. In some bones, the spaces between trabeculae contain red marrow, where...
Bone Marrow Sampling and Transplants
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy the...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy the...


