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骨良性纤维组织细胞瘤(benign fibrous histiocytoma,BFH)是较少见的骨骼系统肿瘤,发病率仅占所有良性骨肿瘤的1%[1],原发于肋骨的更少见。为提高对本病的认识,现将我院收治的1例报告如下。1病历简介病人男性,64岁。因反复间断右侧胸壁疼痛不适1年,加重3月余入院。胸部CT平扫显示:右侧第6肋骨局部膨胀,结构异常,内有不规则透光区。骨三维成像显示:右侧第六肋骨(近胸骨端)约1/3肋骨呈膨胀性增大,骨皮质变薄,可见硬化缘,周围无骨膜反应。骨扫描(ECT)显示:右侧第6前肋骨盐代谢增高灶。病人在全麻下行右侧第6肋
Benign fibrous histiocytoma (BFH) is a rare skeletal system tumor with a prevalence of only 1% of all benign bone tumors [1], but less common in primary ribs. To raise awareness of the disease, now admitted to our hospital in 1 case reported as follows. 1 medical records patient male, 64 years old. Due to repeated intermittent right chest pain discomfort for 1 year, increased more than 3 months admitted to the hospital. Chest CT scan showed: the sixth right rib local expansion, abnormal structure, there are irregular light transmission zone. Bone three-dimensional imaging showed that about 1/3 of the sixth rib (near the sternum) on the right was swollen and the cortical bone became thinner. The sclerosing margin was visible with no periosteal reaction. Bone scan (ECT) showed: increased salt metabolism of the sixth anterior rib on the right. The patient underwent right sixth rib under general anesthesia