Funda İNCEKARA, Göktürk FINDIK, Nevzat KILIÇ, Esra ÖZAYDIN, Hakan NOMENOĞLU

Osteokondrolipom ve lipomların tedavisi aynı mıdır? Göğüs duvarı osteokondrolipomu üzerine olgu sunumu ve literatür incelemesi

Kemiksi ve kondroid alanlar içeren lipomlar osteokondrolipom olarak adlandırılır. Osteokondrolipomlar son derece nadirdirler ve tedavileri tam olarak bilinmemektedir. Bu yazıda, göğüs duvarında 15 yıl önce tespit edilen 45 mm uzunluğunda subkutan kitlesi olan 41 yaşında bir erkek hasta bildirildi. Yakın zaman önce kitle büyümeye başlayınca hasta hastanemize başvurdu. Göğüs duvarındaki kitleye total eksizyon uygulandı. Materyalin histopatolojik incelemesine göre lezyon bir osteokondrolipom idi. Bu nadir osteokondrolipomlara kesici iğne veya küçük biyopsi numunelerinde tanı koyulması zor olabilir. Ayırıcı tanı klinik, radyolojik ve histopatolojik olarak zor olabilir. Bildiğimiz kadarıyla, bu, göğüs duvarının total olarak eksize edilmiş bir osteokondrolipomunun literatürde bildirilen beşinci olgusudur.

Is the treatment for osteochondrolipomas and lipomas the same? Case report and review of the literature on osteochondrolipoma of chest wall

Lipomas containing bony and chondroid areas are calledosteochondrolipomas. Osteochondrolipomas are extremely rareand their treatment is not known exactly. In this article, we reporta 41-year-old male patient who had a 45 mm long subcutaneousmass in the chest wall which was detected 15 years before. Whenthe mass started to grow recently, the patient was admitted to ourhospital. Total excision was performed to the mass of the chest wall.According to the histopathological examination of the material,the lesion was an osteochondrolipoma. It might be challenging todiagnose such rare osteochondrolipomas in the tru-cut or smallbiopsy specimens. Differential diagnosis may be challengingclinically, radiologically, and histopathologically. To our knowledge,this is the fifth case of a totally excised osteochondrolipoma of thechest wall which was reported in the literature

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