骨內脂肪瘤是少見的良性骨腫瘤之一。因為骨內脂肪瘤跟骨囊腫、骨梗塞或其他病灶,在X光片上有相似的呈現,有時會做出錯誤的診斷。因此正確的診斷應包含臨床、放射及病理發現。骨內脂肪瘤傳統上的治療是完全切除加上骨移植,然而捐骨處的後續處理有時很棘手。我們報告一位女性,在足踝扭傷後持續疼痛二個月,至門診治療診斷為跟骨內脂肪瘤,以自體骨髓移植治療。在手術後二十周,追蹤結果是滿意的。因此,在比較目前治療所用的自體骨移植和骨移植替代物後,我們建議以自體骨髓移植治療有症狀的跟骨內脂肪瘤病患。
Intraosseous lipomas are among the rarest benign bone tumors. As intraosseous lipomas appear similar to simple bone cyst, infarctions and other lesions on plain films, they are sometimes misdiagnosed. Therefore, the diagnosis should correlate with clinical, radiological and pathological findings. Traditional surgical treatment of this tumor is complete excision and bone graft. However, the donor site morbidity is sometimes very painful. We report a 39-year-old female patient with intraosseous lipoma of the calcaneus treated by an autogenous bone marrow graft. Preoperatively, she had suffered from persistent right heel pain for 2 months following ankle sprain. On follow-up 20 weeks after the operation, the result was satisfactory. Hence, we recommend considering an autogenous bone marrow graft to treat intraosseous lipoma of the calcaneus in patients with symptoms, after comparing current treatments of bone grafting and bone graft substitutes.
為了持續優化網站功能與使用者體驗,本網站將Cookies分析技術用於網站營運、分析和個人化服務之目的。
若您繼續瀏覽本網站,即表示您同意本網站使用Cookies。