HNH NH XQ U XNG LNH TNH

NT LNG

c im chung
U xng c c im dch t hc v v tr thng tn kh r rng.
y l mt yu t quan trng gip chn on.
chn on u xng bao gi cng da vo 3 c im:
- Tui ca bnh nhn: Thiu nin-Thanh nin-Ngi ln
- V tr tn thng: Xng di-Xng ngn-V xng-ng ty...
- c im ca tn thng: ng nht- B vin-Vin c
xng-DH thi v hoc ph v v

Cc loi u xng lnh tnh

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

Nang xng n thun

U xng sn
U sn
U xng
U dng xng
Nang phnh mch
U x khng vi ha
U x sn nhy
U nguyn bo xng
U nguyn bo sn
U t chc bo X
U t bo khng l (Giant Cell Tumors)

Nang xng n thun ( Simple Bone Cyst_SBC )

Tui: Thiu nin (10-20 tui).
V tr: Pht trin trong ng ty c xng di ch yu xng cnh tay.
c im ca tn thng:
- Hnh khuyt xng, m ng nht.

- B vin u.
- C vin c xng mng bao quanh.
- DH thi v (+).

- Khng phn ng mng xng.

- u trn xng cnh tay.

- tiu xng ng nht.
- DH thi v.
- Phn ng mng xng (-).
- Mnh xng gy th pht.

U xng sn (OsteoChondroma)
Tui: Thiu nin.
V tr: C cc xng di.
c im:
- Hnh nh chi xng mc ra v tr c xng.

- V xng lin tc vi v xng lnh.

- Cc b xng xp lin tc vi cc b xng xp vng c x.lnh.
- Cng c cu trc sn tng trng u.

- a phn l lnh tnh.

- Hnh nh chi xng u di xng i.

- V xng lin tc vi v xng i.
- Khng thy xm ln phn mm xung quanh.

U sn (Chondroma)
Tui: Tr em, do t/c lnh tnh nn thng pht hin mun 10-30T.
V tr: Thng gp cc xng nh nh c bn tay.
c im tn thng:
- Hnh khuyt xng.

- B a cung.
- Bn trong c chm vi ha.
- DH thi v (+).
- Khng c phn ng mng xng

U xng (Osteoma)
Tui : Thiu nin, do t/c lnh tnh nn thng pht hin tui tr/thnh.

V tr: Trong xoang, ch yu l xoang trn, c th gp v xng s

or xng hm.
c im:

- Nt c xng ng nht trong xoang.

- Ranh gii r nt.
- R nht trong xoang trn.

U dng xng (Osteoma Osteoid)

LS :

Thng au nhiu v m v gim khi dng nhm aspirin.

Tui: Thiu nin.

V tr: Pht trin t v xng u cc xng di or cung sau S.
c im tn thng:

- Dy khu tr v xng.
- Hnh khuyt xng k <10mm, trong c nt c xng.
- Khng c phn ng mng xng.
- Nhng trng hp C nn kt hp vi CLVT.

Nang phnh mch (Anervrysmal Cyst)

* L nhng h mu, b r v thnh mng.
* Xen k vi t chc lin kt, cc h mu ny c dng chy rt chm.
LS c 2 th:
- Nguyn pht.

- Th pht (Sau chn thng).

V v tr:
- Trong xng xp (Nang phnh mch nguyn pht).

- Pht trin di mng xng (Thng th pht sau CT).

Nang phnh mch (Anervrysmal Cyst)

Tui: Thiu nin
V tr: Trong t chc xng xp (Thn S C cc xng di) or
di mng xng (Thng th pht sau CT).
c im tn thng:

- Hnh khuyt xng.

- B khng u, a cung.
- C th to thnh mc dch (Do thnh phn hu hnh lng ng).

- Chn on xc nh trn CHT th hin dng chy thp.

U x khng vi ha (Fibrome Non Ossifiant)

Tui: Thiu nin, 70% tui t 10-20 tui.
V tr: Pht trin t v xng c cc xng di.
c im tn thng:
- Hnh khuyt xng nm trong v xng.

- B r, c th c vch.
- C vin c xng mng xung quanh.
- DH thi v (+).
- Khng c phn ng mng xng.

- Pht trin lch trc.

- v xng u di xng chy.
- Khuyt xng ranh gii r.
- Vin c xng mng.
- C vch.
- DH thi v (+).
- Khng thy xm ln.

U x sn nhy (Fibrome Chondromyxoide)

Tui: Thanh thiu nin (20-30 tui)
V tr: Pht trin t c v thn ca xng di
t gp cc xng nh nh nh bn tay, bn chn
c im tn thng:

- Hnh khuyt xng thng trc.

- B vin r, a cung.
- C vin c xng mng.

- DH thi v (+).
- Khng c phn ng mng xng.

- Hnh khuyt xng.

- u di xng cnh tay.
- B r, nhiu cung.
- DH thi v (+).
- Khng c phn ng mng xng.

U nguyn bo xng (Osteoblastoma)

Tui: Ngi tr tui, trong 90% tui 6-30 tui.
V tr: Pht trin S m in hnh l cung sau t sng.
xng di khong 30%.
c im ca tn thng:

- Hnh khuyt xng, K >15mm.

- B r, c vin c xng xung quanh.
- DH thi v (+).

- Vi ha nhanh sau iu tr bng tia x.

- K <10mm gi l u dng xng.

- Hnh khuyt xng cung sau thn S ngc.

- Ranh gii r.
- C vin c xng xung quanh (Ca s phn mm).

U nguyn bo sn (Chondroblastoma)

Tui: Thng gp tr em, cha lin sn tng trng

V tr: Hay gp nht chm xng i, xng cnh tay

c im tn thng:
- Hnh khuyt xng
- Vin c xng xung quanh
- Bn trong c chm vi ha

U t chc bo X
* Bnh Letterer Swie (Him gp, thng t vong tr s sinh).
* Bnh Hand Schuller Christian.
* U ht t bo i toan (L hay gp nht).
Tui: Thng t 5-10 tui.

V tr: Xng s - Ct sng v u xng di.

c im tn thng:
- Khuyt xng, b r hnh rng ca, khng c vin c x.

- Hnh nh L trong l xng s.

- CS lm bin dng dt t sng.

U t bo khng l (Giant Cell Tumors)

Tui: Ngi trng thnh (Sau khi lin sn tng trng).
V tr: chm xng di, st mt khp.
V tr thng gp Vng gi C tay v u trn X. cnh tay.
c im tn thng:

- Hnh khuyt xng c vch mng, to hnh bt x phng.

- DH thi v (+).
- Khng c phn ng mng xng.

- Khng c vin c xng xung quanh.

CHN THNH CM N

DONT
LOOK
AT
ME,
PLEASE!

MT S HNH NH U XNG

?????

Phn ng mng xng

?????

Tr cha lin sn tng trng

Hnh nh c xng
Di vi ha xm ln phn mm v vung
gc vi thn xng

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????

?????