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Case No. 482
2018-06-01~2018-06-30
출제자 : 이경식
Hit : 258
| Period | 2018-06-01~2018-06-30 |
|---|---|
| Diagnosis | melorheostosis |
| Clinical information | 20세 남자 Mediastinal immature teratoma workup을 위해 시행한 Neck CT. 경추에 보이는 병변의 진단은? |
| Discussion | uncommon mesenchymal dysplasia manifesting as regions of sclerosing bone with a characteristic dripping wax appearance or flowing candle wax appearance. Clinical presentation - usually asymptomatic - incidental finding on radiographs - the most common presentation is of joint contracture or pain, which are more common in adults Pathology Distribution - monostotic or polyostotic and tends to be monomelic - predilection for long bones of the limbs, although it can be seen almost anywhere Associations - sclerodermic skin changes: thickening and fibrosis of overlying skin - hyperpigmentation of overlying skin - muscle atrophy - vascular tumors and malformations - other tumours, e.g. osteosarcoma, malignant fibrous histiocytoma 4 |
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