- 期刊
Intraosseous Lipoma of Calcaneus Treated by Autogenous Bone Marrow Graft: Report of a Case
以自體骨髓治療跟骨內脂肪瘤：病例報告
摘要
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。
關鍵字
無資料並列摘要
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.
延伸閱讀
- Chen, L. K., Hui, M. S., Wu, C. C., Perng, H. P., & Choi, W. M. (1997). 跟骨骨內脂肪瘤之電腦斷層攝影：病例報告. 中華放射線醫學雜誌, 22(1), 39-41. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199702-22-1-39-41-a
- 吳禕凡、楊明祥、張佩穎、張加明、陳遠謙（2011）。以血管栓塞、刮除及骨移植治療下顫骨動脈瘤性骨囊腫之病例報告。臺灣口腔顎面外科學會雜誌，22(4)，294-304。https://doi.org/10.7104/TJOMS.201112.0049
- 魏裕展（2010）。低功率雷射照射對脂肪幹細胞與骨前趨細胞之影響：應用於神經與硬骨組織工程之研究〔碩士論文，長榮大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0015-2308201011110600
- Cheng, H. R., Yang, R. S., Wu, C. D., Wang, J. D., & Hou, S. M. (2002). 單腔骨囊腫－類固醇注射與刮除併骨移植之治療結果比較. Journal of Orthopaedic Surgery Taiwan, 19(4), 187-192. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200212-19-4-187-192-a
- Huang, W. H., Hsueh, E. J., Huang, H. H., Chao, T. Y., Wang, C. G., & Chang, J. Y. (1996). 人類顆粒球細胞群落刺激因子（Filgrastim）應用於骨髓移植病患之效果－三軍總醫院臨床經驗. Journal of Medical Sciences, 16(5), 349-354. https://www.airitilibrary.com/Article/Detail?DocID=10114564-199604-201306180005-201306180005-349-354