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Vojnosanitetski pregled
2012, vol. 69, br. 11, str. 1009-1012
jezik rada: engleski
vrsta rada: prikaz slučaja
objavljeno: 06/11/2012
doi: 10.2298/VSP1211009T
Osifikujući hondrolipom jezika
aUniverzitet u Nišu, Medicinski fakultet, Katedra Patologija
bDepartment of Pathology, General Hospital, Leskovac
cDepartment of Otorhinolaryngology, General Hospital, Leskovac
dUniverzitet u Nišu, Medicinski fakultet

Sažetak

Uvod. Hondrolipomi i osteolipomi predstavljaju retke varijante lipoma. Prikaz bolesnika. Prikazana je bolesnica, stara 60 godina, sa osifikujućim hondrolipomom jezika. Kliničkim pregledom otkrivena je nodularna masa čvrste konzistencije, koja je lokalizovana medijalno u zadnjem regionu dorzuma jezika. Histološki, lezija je bila jasno ograničena i sastojala se od polja zrelih lipocita lobularnog rasporeda sa vezivnotkivnim septama, ostrva zrelog hrskavičavog tkiva i polja koštane metaplazije. U tumoru su nađene rasute trabekule kosti uklopljene u fibromasnu osnovu. Uočena su polja hrskavice povezana formiranjem kosti i masnom koštanom srži u centru, u kojoj su, takođe, bili prisutni hematopoetski elementi. Utvrđeno je da se formiranje kosti odvijalo prema oba mehanizma, membranoznim i enhondralnim. Zaključak. Osifikujući hondrolipom sa hematopoetskim elementima je izuzetno retka lezija. U diferencijalnoj dijagnozi lezija jezika treba misliti i na ovaj interesantan entitet.

Ključne reči

jezik, neoplazme; neoplazme, kompleksne i mešovite; hondrom; osteom; lipom; mezenhimom; dijagnoza; dijagnoza, diferencijalna

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