Successful treatment of bilateral calcaneal intraosseous lipomas using endoscopically assisted tumor resection.
Successful treatment of bilateral calcaneal intraosseous lipomas using endoscopically assisted tumor resection.
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发表时间：
2007-11
影响因子：
2
通讯作者：
H. Futani;S. Fukunaga;Shoji Nishio;M. Yagi;S. Yoshiya
中科院分区：
文献类型：
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作者：
H. Futani;S. Fukunaga;Shoji Nishio;M. Yagi;S. Yoshiya
背景骨内脂肪瘤是一种罕见的良性骨肿瘤。当出现疼痛或病变大到足以导致病理性骨折时，需要切除。然而，常规手术需要至少6周的非负重。在此，我们提出一个双侧跟骨骨内脂肪瘤的病例，成功地用内视镜辅助下的刮除术治疗。病例介绍：一名30岁女性，双足跟疼痛1年。放射学检查结果显示在两个跟骨的颈部有明确的溶解性病变。磁共振（MR）图像在T1和T2序列上显示高信号。在2.7 mm直径霍普金斯望远镜观察下，通过内侧和外侧的小骨开窗进行刮除。用β-磷酸三钙（β-TCP）填充骨空隙。术后第二天允许完全负重。结论跟骨良性骨肿瘤患者行内窥镜辅助下病灶刮除术是可行的，可避免术后长时间不负重。
BACKGROUND Intraosseous lipoma is a rare benign bone tumor. Removal is required when there is pain or the lesion is large enough to lead to a pathological fracture. However, conventional surgery requires non-weight-bearing for at least 6 weeks. Here, we present a case with bilateral calcaneal intraosseous lipomas successfully treated by the use of endoscopically assisted curettage. CASE PRESENTATION A 30-year-old female noted pain in both heels for 1 year. Radiological findings revealed well-defined lytic lesions at the neck of both calcanei. Magnetic resonance (MR) images showed hyper-intense signals on the T1 and T2 sequences. Curettage was performed through small bone fenestrations in the medial and lateral aspects under observation with a 2.7-mm-diameter Hopkins telescope. The bone void was filled with beta-tricalcium phosphate (beta-TCP). Full weight-bearing was permitted the day after the surgery. CONCLUSION Endoscopically assisted curettage is feasible in patients with benign bone tumors of the calcanei to avoid a long period of non-weightbearing post-operatively.