囊肿Cyst · 骨 · 骨骼肌肉系统 · NTP ntp-0571
诊断要点:观察到孤立性骨囊肿时应作出诊断。然而,当囊肿作为骨软骨病(在Sprague-Dawley大鼠中表现为发育缺陷)的原发性病变或关节退变的组成部分发生时,不应作出诊断。
病变描述
皮质骨囊肿(动脉瘤)的特征是皮质和/或骨髓腔被由薄层皮质骨壁构成的膨胀性囊性空间所扩张(Figure 1)。这些病变的膨胀性质可能引起周围骨的压迫性萎缩,伴有骨小梁或皮质骨的丢失并被结缔组织取代(Figure 2)。骨囊肿可为单房性(Figure 3)或多房性,并可含有数量不等的红细胞、纤维蛋白或蛋白性物质(Figure 4)。孤立性骨囊肿在F344大鼠中罕见观察到,其意义和发病机制尚不清楚。这些病变可发生于骨干的任何部位;然而,在大鼠中,囊肿可作为关节退变或骨软骨病的组成部分发生于软骨下骨内。
诊断与分级建议(NTP 共识)
观察到孤立性骨囊肿时应作出诊断。然而,当囊肿作为骨软骨病(在Sprague-Dawley大鼠中表现为发育缺陷)的原发性病变或关节退变的组成部分发生时,不应作出诊断。这些病变代表B6C3F1小鼠和F344大鼠中的散发性背景性过程;骨囊肿的增加尚未与化学物暴露相关联。继发性病变,如萎缩,除非严重程度足以支持,否则不应单独诊断。
图谱


英文原文
展开 NTP 官方英文描述与建议
Comment:
Cortical bone cysts (aneurysms) are characterized by expansion of the cortex and/or marrow cavity by an expansile cystic space composed of a thin wall of cortical bone ( Figure 1 ). The expansile nature of these lesions may induce pressure atrophy of the surrounding bone, with loss of bony trabeculae or cortical bone and replacement by connective tissue ( Figure 2 ). Bone cysts may be unilocular ( Figure 3 ) or multilocular and may contain variable amounts of erythrocytes, fibrin, or proteinic material ( Figure 4 ). Solitary bone cysts are rarely observed in the F344 rat, and their significance and pathogenesis are not known. These lesions may occur anywhere along the diaphysis; however, cysts may occur within the subchondral bone as a component of joint degeneration or osteochondrosis in the rat.
Recommendation:
Solitary bone cysts should be diagnosed when observed. However, when a cyst occurs as a component of a primary lesion of osteochondrosis (seen as a developmental defect in Sprague-Dawley rats) or degeneration of the joint, it should not be diagnosed. These lesions represent sporadic background processes in the B6C3F1 mouse and F344 rat; increases in bone cysts have not been associated with chemical exposures. Secondary lesions, such as atrophy, should not be diagnosed separately unless warranted by severity.
来源与引用
原始条目:https://ntp.niehs.nih.gov/atlas/nnl/musculoskeletal-system/bone/Cyst
图谱总目录:NTP Nonneoplastic Lesion Atlas。 内容属美国联邦政府作品(公有领域),可引用;引用时请标注来源。
建议引用格式:NTP Nonneoplastic Lesion Atlas. Cyst (bone). LabSmart 中文版:
https://www.labsmart.cn/ntp/bone-cyst.html
中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#bone-cyst