论文部分内容阅读
自１９８５年，共收集到３例骨韧带样纤维瘤，３例均为女患，年龄分别为９岁，３５岁和４４岁。病变分别为骨、脊柱和坐骨。脊柱处的韧带样纤维瘤为罕见的发病部位。除了脊柱病变为首次就诊外，骨和坐骨的病人均为术后复发的病人。骨韧带样纤维瘤的病因与染色体畸变有关，发病慢，病史长，术前难以作出临床诊断。ｘ线表现为骨的溶骨破坏。组织学特点是：胶原纤维构成了主要成分，其中分布有纤维细胞。胶原粗大而密集，呈波纹状。细胞为长梭形，无异形性。肿瘤中无成骨现象。本病具有侵袭性，易复发，手术应根治性切除。本材料随访５年，易复发，手术应根治性切除。本材料随访５年，无复发发生。
Since 1985, a total of 3 cases of bone ligamentoid fibroids have been collected, and 3 cases were female patients, aged 9 years, 35 years and 44 years respectively. The lesions were bone, spine and ischial bone. Ligamentous fibroids at the spine are rare sites of disease. In addition to spinal lesions for the first visit, patients with bone and sciatic bone recurred after surgery. The etiology of bone ligamentoid fibroma is related to chromosomal aberrations, with a slow onset and long medical history. It is difficult to make clinical diagnosis before surgery. The x-rays show the osteolytic destruction of the bone. Histological characteristics are: Collagen fibers constitute the main component, which is distributed in fiber cells. Collagen is thick and dense and wavy. The cells are long spindle and have no heterogeneity. There is no bone formation in the tumor. The disease is invasive, easy to relapse, surgery should be radical resection. This material was followed up for 5 years, easy to relapse, radical resection should be performed. The material was followed up for 5 years and no recurrence occurred.