1例左下肢软骨样脂肪瘤的分析

Abstract
Figure/Table
References (18)
Related Citation (15)

Download: PDF (0 KB) HTML (34 KB)
Export: BibTeX | EndNote (RIS)

Abstract Chondroid lipoma was an extremely rare benign tumor.At present,there were few reports about chondroid lipoma,which is easy to be misdiagnosed in clinical work.In this case,an elderly male patient was introduced.He was admitted to the hospital because of a 7 cm×4 cm mass in the posterior medial side of the left thigh.This mass increased slowly after no treatment.The skin color and temperature of the affected area were normal without tenderness.The sensation,movement and blood circulation of the left lower limb were normal.Ultrasound showed that there were 6.6 cm×3.1 cm×2.6 cm slightly hyperechoic mass in the left thigh posterior medial muscle,with clear boundary and complete capsule,many fibrous cord like hyperechoic distribution and sparse blood flow signal in the mass.On plain MRI scan,there was an elliptical abnormal signal shadow in the left thigh semimembranous muscle,the range was about 2.7 cm×3.7 cm×6.4 cm,the boundary was clear,the internal signal was slightly uneven,T1WI and T2WI were high signal,T2 fat suppression sequence was slightly lower than T2WI signal,showing slightly high signal,and the adjacent muscle was slightly compressed.The cortex of the left femur is smooth and continuous,and the signal is uniform.There is no obvious abnormal signal in the bone marrow.On contrast-enhanced MRI scan,there were obvious streaked enhancement shadow in the oval lesions of left thigh semimembranous muscle,but most of the lesions were not enhanced.The final diagnosis was chondroid lipoma after operation combined with pathology.In this paper,through the introduction of this case and the review of previous literature,to deepen the understanding of chondroid lipoma,aiming to reduce the incidence of misdiagnosis and avoid over treatment.

Key words： Chondroid lipoma Image Benign tumor Literature review

Received: 26 April 2020

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIU Yu-bo
	ZHANG Duo

Cite this article:

LIU Yu-bo,ZHANG Duo. Analysis of 1 case of chondroid lipoma of left lower limb[J]. 中国当代医药, 2021, 28(2): 210-213.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I2/210

[1]	Meris JM，Enzinger FM.Chondroid lipoma.A unique tumor simulating liposarcoma and myxiod chondrosarcoma[J].Am J Surg Pathol，1993，17（11）：1103-1112.
[6]	Tannenbaum M，Colucci PG，Baad M，et al.Chondroid lipoma：multimodality imaging in a 9-year-old female[J].Skeletal Radiol，2020，49（1）：161-169.
[7]	Y1ld1z AE，Ayd1ngoz U，Sokmensüer C，et al.Intramuscular chondroid lipoma：magnetic resonance imaging diagnosis by"fat ring sign"[J].Balkan Med J，2015，32（1）：107-110.
[8]	Escobar E，Nguyen BD，Colvin OC.PET/CT and MRI of chondroid lipoma of the deltoid muscle[J].Clin Nucl Med，2014，39（11）：984-987.
[13]	邵睿，范钦和.骨外黏液性软骨肉瘤28 例临床病理分析[J].诊断病理学杂志，2016，23（5）：321-364.
[14]	Ling Z，Ruoning W，Rong X，et al.Extraskeletal myxoid chondrosarcoma：a comparative study of imaging and pathology[J].Biomed Res Int，2018，2018：9684268.
[15]	王成建，刘吉化，任延德，等.四肢MLS CT、MR 表现与病理相关分析[J].医学影像学杂志，2018，28（5）：841-844.
[16]	宋梦媛，王璐，卿勇.臀部MLS 二例[J].华西医学，2017，32（9）：1477-1479.
[17]	郭廷贞，王莉，郭锡城，等.黏液性脂肪肉瘤的磁共振成像诊断[J].实用医技杂志，2018，25（10）：1097-1098.
[2]	Huang C，Guo W，Qu W，et al.Characteristics of chondroid lipoma：A case report and literature review[J].Medicine，2019，98（19）：e15 587.
[3]	Patne SC，Aryya NC，Gangopadhyay AN.Chondroid lipoma in a child[J].Indian J Pathol Microbiol，2008，51（4）：541-542.
[4]	Park SE，Lee JU，Ji JH.Intraneural c hondroid lipoma on the common peroneal nerve[J].Knee Surg Sports Traumatol Arthrosc，2011，19（5）：832-834.
[5]	Villarroel Dorrego M，Papp Y，Shelley MJ，et al.Chondroid lipoma of the tongue：a report of two cases[J].Oral Maxillofac Surg，2014，18（2）：219-222.
[9]	刘福川，向川.易误诊为恶性的CL 1例[J].中国临床医学影像杂志，2011，22（10）：758-759.
[10]	Alyousef M，Al Nemer A.Chondroid lipoma associated with osteoclast-like multinucleated giant cells-a case report[J].APMIS，2017，125（5）：506-508.
[11]	Katsuyama Y，Shirai T，Terauchi R，et al.Chondroid lipoma of the neck：a case report[J].BMC Res Notes，2018，11（1）：415.
[12]	邓雪英，唐景龙，王颖，等.骨外黏液样软骨肉瘤CT、MR特征及病理基础[J].临床放射学杂志，2015，34（9）：1458-1462.
[18]	Flucke U，Tops BBJ，Somerhausen NDSA，et al.Presence of C11orf 95-MKL2 fusion is a consistent finding in chondroid lipomas：a study of eight case s[J].Histopathology，2013，62（6）：925-930.