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摘要


雖然血管瘤是一種常見的良性軟組織腫瘤,具有腫瘤內骨化現象的血管瘤則很罕見。骨化性肌肉內血管瘤是一種少見的腫瘤,好發於年輕女性,常以無痛性、逐漸增大的下肢腫瘤來表現。本文報告的病例為一位二十七歲女性,在左大腿出現一個無痛性,逐漸增大的腫瘤。X光素片發現腫瘤呈現典型「瑞士起司」樣骨化現象;磁振造影則顯示該腫瘤有顯影增強現象,符合血管瘤特徵,同時腫瘤內有許多不顯影的低訊號性病灶,暗示有腫瘤內骨化現象。依影像學特徵顯示該腫瘤為骨化性肌肉內血管瘤,而組織病理檢驗也確認此一診斷。本病例指出影像學特徵對於手術前正確診斷骨化性肌肉內血管瘤具有相當的重要性。

關鍵字

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並列摘要


Although hemangioma is a common benign soft-tissue tumor, the formation of intratumoral ossification is rare. Ossified intramuscular hemangioma, an infrequent benign tumor, is characterized by a progressively enlarging painless mass in the lower extremity of young female. Herein, we report a case of 27-year-old female suffered from a progressively enlarging painless mass in her left thigh. The mass showed a ”Swiss cheese”-like calcification on plain radiographs. Magnetic resonance images revealed multiple cystic spaces with marked contrast enhancement suggesting vascular nature and intratumoral non-enhanced foci of very low signal intensity. The image finding may prompt the diagnosis of ossified intramuscular hemangioma, which was confirmed by the histologic examination. Our report emphasized that the characteristic imaging features of ossified intramuscular hemangioma might be helpful for the correct diagnosis preoperatively.

並列關鍵字

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延伸閱讀


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