底尾骨的冠状骨肉瘤 底尾骨的冠状骨肉瘤
Sreelatha S V1, Padmaraj Hegde2, Yashi Aggarwal3
1Department of Oral & Maxillofacial Pathology and Oral Microbiology, Nitte (Deemed to be University), AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Mangaluru, Karnataka, India sreelathakarnaker@hotmail.com.
BMJ case reports
|November 12, 2025
概括
本病例报告描述了一例罕见的成年男性关节 (TMJ) 冠状腺癌病例. 早期误诊为关节疾病 (TMD) 推迟了对这种软骨瘤的最终治疗.
科学领域:
- 口腔和牙面部外科手术
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 软骨肉瘤是一种罕见的恶性瘤,来自软骨.
- 关节 (TMJ) 软骨肉瘤异常罕见,通常呈现非特异性症状.
- 由于最初误解为常见的关节疾病 (TMD),可能会出现延迟诊断.
研究的目的:
- 在关节中报告一种不寻常的软骨肉瘤病例.
- 突出诊断挑战和图像检查发现与TMJ软骨肉瘤相关.
- 强调在持续或进展的症状中考虑罕见诊断的重要性.
主要方法:
- 一个50多岁的男性患者的病例介绍,他患有渐进的TMJ症状.
- 诊断工作包括形光束CT (CBCT) 扫描和组织病理学检查.
- 手术切除具有广泛的边缘和后续监测.
主要成果:
- 关节疾病 (TMD) 的初始诊断被修订为I级软骨瘤.
- 形光束CT显示出一个扩展性形病变,在状骨区域具有特征的化.
- 显微镜检查证实了非典型的冠状细胞,表明有软骨性瘤.
结论:
- 关节冠状腺瘤是一种罕见的实体,可以模仿像TMD这样的良性疾病.
- 像CBCT这样的高级成像对于识别微妙但显著的骨损伤至关重要.
- 具有明确边缘的迅速外科干预对于管理关节软骨瘤和预防复发至关重要.
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