Adamantinoma is a primary low grade malignant bone tumor that is predominantly located in the mid-portion of the tibia. The tumor is of interest for two reasons： first, there still exists considerable dispute as to t...Adamantinoma is a primary low grade malignant bone tumor that is predominantly located in the mid-portion of the tibia. The tumor is of interest for two reasons： first, there still exists considerable dispute as to the origin of the lesion and recent reports reveal that the condition is more malignant than had previously been supposed. Although cases of adamanti- noma located to the axial skeleton have been reported, this is the first case of adamantinoma located to pelvic bone in Iran. Here we present the clinical, radiological ＆ histopathological features of a 19 year-old male with painful lesion located to the right pelvic bone which was morphologically and immunohistochemically diagnosed as adamantinoma. In general, metastasis is seen in 15%-20% of patients. The spread can occur to regional nodes, lung and infrequently to skeleton, liver and brain . Several weeks after surgery, our patient＇s condition gradually worsened. A CT-scan of abdomen revealed widespread liver metastasis and the patient died due to acute liver failure. This case demonstrates that the mortality rate from adamantinoma is not always low.展开更多
Little is known about the morphology of the pelvic girdle of modern cetaceans, although many species have a vestigial pelvis (pelvic bone) and part of the hind limb bones inside the body. Previous studies have focused...Little is known about the morphology of the pelvic girdle of modern cetaceans, although many species have a vestigial pelvis (pelvic bone) and part of the hind limb bones inside the body. Previous studies have focused almost exclusively on hard tissues as well, despite the fact that the bones are comprised of cartilaginous tissue, especially in the case of femur. In the present study, we characterized the pelvic bones and searched for vestigial femurs among 43 North Pacific common minke whales (Balaenoptera acutorostrata), all of which were sexually mature individuals. The shape of the pelvic bones clearly differs depending on sex. Specifically, the pelvic bones of females were flat, but those of adult males consist of two types: one with a twisted caudal portion (Twisted type) and the other with a thickened caudal portion (Hypertrophied type). Those pelvic bone features in male are found only among North Pacific common minke whales. 98% of the individuals in this study had vestigial femur. The presence rate of vestigial femur may differ by subspecies. The shape of the pelvic and hind limb bones of modern cetaceans may vary between species and probably by region, at least at the Ocean basin scale.展开更多
Bone metastasis of gastric cancer is relatively uncommon in clinical practice.Moreover,it is all the more unusual for the primary presentation of gastric malignancy to be bone metastasis.Here,we describe a male patien...Bone metastasis of gastric cancer is relatively uncommon in clinical practice.Moreover,it is all the more unusual for the primary presentation of gastric malignancy to be bone metastasis.Here,we describe a male patient who complained of pain and edema in his right lower extremity.Further assessment by computed tomography and positron emission tomography revealed an abnormally thickened gastric cardia and a giant neoplasm in the right pelvis with bone damage.Consequently,the finding of adenocarcinoma cells in pelvic and cardia biopsy specimens contributed to the diagnosis of pelvic metastasis from gastric cancer.This case report illustrates that stomach cancer has the potential,although far less than breast,prostate and lung cancers,to metastasize to bone.In addition,it highlights the peculiarity of this bone metastasis which is pelvic,solitary and huge.展开更多
BACKGROUND Bone lesions can present the multi-displinary team with a challenge by way of diagnosis as some lesions share many radiological and histological characteristics.Giant cell tumours of the bone(GCTB)are relat...BACKGROUND Bone lesions can present the multi-displinary team with a challenge by way of diagnosis as some lesions share many radiological and histological characteristics.Giant cell tumours of the bone(GCTB)are relatively common,benign bone tumours.Aneurysmal bone cysts(ABC)are less common benign osteolytic lesions that are histologically similar to GCTBs but produce blood filled cavities.Both GCTBs and ABCs are locally aggressive and are typically found on meta-epiphyseal regions of long bones with pelvic tumours being less common.CASE SUMMARY A 17-year old female presented with atraumatic right groin pain and was initially diagnosed with a GCTB on the right superior pubic ramus of the pelvis.The patient was treated successfully with a wide excision,curettage and bone graft and underwent open reduction and internal fixation of the right hemi-pelvis.Following further intra-operative histological investigations,the lesion was diagnosed as an ABC.CONCLUSION This patient has had an uncomplicated post-operative course,has returned to comfortable weight bearing and will be reviewed for minimum 5 yr in the outpatient setting to monitor for reoccurrence.展开更多
文摘Adamantinoma is a primary low grade malignant bone tumor that is predominantly located in the mid-portion of the tibia. The tumor is of interest for two reasons： first, there still exists considerable dispute as to the origin of the lesion and recent reports reveal that the condition is more malignant than had previously been supposed. Although cases of adamanti- noma located to the axial skeleton have been reported, this is the first case of adamantinoma located to pelvic bone in Iran. Here we present the clinical, radiological ＆ histopathological features of a 19 year-old male with painful lesion located to the right pelvic bone which was morphologically and immunohistochemically diagnosed as adamantinoma. In general, metastasis is seen in 15%-20% of patients. The spread can occur to regional nodes, lung and infrequently to skeleton, liver and brain . Several weeks after surgery, our patient＇s condition gradually worsened. A CT-scan of abdomen revealed widespread liver metastasis and the patient died due to acute liver failure. This case demonstrates that the mortality rate from adamantinoma is not always low.
文摘Little is known about the morphology of the pelvic girdle of modern cetaceans, although many species have a vestigial pelvis (pelvic bone) and part of the hind limb bones inside the body. Previous studies have focused almost exclusively on hard tissues as well, despite the fact that the bones are comprised of cartilaginous tissue, especially in the case of femur. In the present study, we characterized the pelvic bones and searched for vestigial femurs among 43 North Pacific common minke whales (Balaenoptera acutorostrata), all of which were sexually mature individuals. The shape of the pelvic bones clearly differs depending on sex. Specifically, the pelvic bones of females were flat, but those of adult males consist of two types: one with a twisted caudal portion (Twisted type) and the other with a thickened caudal portion (Hypertrophied type). Those pelvic bone features in male are found only among North Pacific common minke whales. 98% of the individuals in this study had vestigial femur. The presence rate of vestigial femur may differ by subspecies. The shape of the pelvic and hind limb bones of modern cetaceans may vary between species and probably by region, at least at the Ocean basin scale.
文摘Bone metastasis of gastric cancer is relatively uncommon in clinical practice.Moreover,it is all the more unusual for the primary presentation of gastric malignancy to be bone metastasis.Here,we describe a male patient who complained of pain and edema in his right lower extremity.Further assessment by computed tomography and positron emission tomography revealed an abnormally thickened gastric cardia and a giant neoplasm in the right pelvis with bone damage.Consequently,the finding of adenocarcinoma cells in pelvic and cardia biopsy specimens contributed to the diagnosis of pelvic metastasis from gastric cancer.This case report illustrates that stomach cancer has the potential,although far less than breast,prostate and lung cancers,to metastasize to bone.In addition,it highlights the peculiarity of this bone metastasis which is pelvic,solitary and huge.
文摘BACKGROUND Bone lesions can present the multi-displinary team with a challenge by way of diagnosis as some lesions share many radiological and histological characteristics.Giant cell tumours of the bone(GCTB)are relatively common,benign bone tumours.Aneurysmal bone cysts(ABC)are less common benign osteolytic lesions that are histologically similar to GCTBs but produce blood filled cavities.Both GCTBs and ABCs are locally aggressive and are typically found on meta-epiphyseal regions of long bones with pelvic tumours being less common.CASE SUMMARY A 17-year old female presented with atraumatic right groin pain and was initially diagnosed with a GCTB on the right superior pubic ramus of the pelvis.The patient was treated successfully with a wide excision,curettage and bone graft and underwent open reduction and internal fixation of the right hemi-pelvis.Following further intra-operative histological investigations,the lesion was diagnosed as an ABC.CONCLUSION This patient has had an uncomplicated post-operative course,has returned to comfortable weight bearing and will be reviewed for minimum 5 yr in the outpatient setting to monitor for reoccurrence.
