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目的 :探讨软骨粘液样纤维瘤的病理及X线诊断。方法 :报告经手术病理证实的 4例并结合文献分析 ,其中男 3例 ,女 1例 ,年龄 15～ 49岁 ,平均 2 4岁 ;病史最长者 9年 ,最短者 2年 4个月 ,其中 1例有外伤史。摄X线平片正位、侧位和/或斜位。结果 :2例X线表现为膨胀性粗厚的蜂窝状 ,有“囊套囊”及软组织肿块征象 ,其中 1例伴小点状钙化 ;1例病变近髓腔侧呈扇形增生硬化 ,其内见粗大骨嵴 ,骨皮质变薄似波浪状 ;另 1例呈边缘清楚的“吹气球”样改变 ,均未见骨膜反应。结论 :临床、X线、病理三者综合分析是诊断软骨粘液样纤维瘤的最佳方法
Objective: To explore the pathology and X-ray diagnosis of chondromyxoid fibroma. Methods: Reported by surgery and pathology confirmed in 4 cases combined with literature analysis, including 3 males and 1 female, aged 15-49 years, mean 24 years old; longest history of 9 years, the shortest 2 years 4 months, One patient had a history of trauma. X-rays are taken in normal, lateral, and/or oblique positions. RESULTS: Two cases of X-ray showed an expansive and thick honeycomb with “capsular cuff” and soft tissue masses. One case had small punctate calcifications, and one case had a fan-like hyperplasia in the proximal medullary cavity. See the thick bone callus, cortical bone thin like wavy; the other one was clear edge of the “blowing balloon” like change, no periosteum reaction. Conclusion: The comprehensive analysis of clinical, X-ray and pathology is the best method to diagnose cartilage myxoid fibroma