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Osteosarcomatous Transformation in Mazabraud Syndrome: A Case Report

Mazabraud 증후군에서 발생한 골육종으로 악성 변환: 증례 보고

  • Yang Il Park (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Ji Young Yoo (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Joon Seog Kong (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences)
  • 박양일 (한국원자력의학원 원자력병원 영상의학과) ;
  • 유지영 (한국원자력의학원 원자력병원 영상의학과) ;
  • 공준석 (한국원자력의학원 원자력병원 영상의학과)
  • Received : 2020.12.16
  • Accepted : 2021.01.05
  • Published : 2021.09.01

Abstract

Mazabraud syndrome is a rare benign disease that is accompanied by polyostotic fibrous dysplasia and intramuscular myxoma. Malignant transformation of fibrous dysplasia occurs in approximately 1% of cases. To date, only eight cases of malignant transformation, of fibrous dysplasia to osteosarcoma, in Mazabraud syndrome have been reported worldwide. The authors report the first case of osteosarcomatous transformation in a patient with Mazabraud syndrome in the Republic of Korea, focusing on imaging findings.

Mazabraud 증후군은 다골성 섬유성 이형성과 근육 내 점액종이 동반되는 매우 드문 양성 질환이다. 섬유성 이형성에서 악성 변환이 일어나는 경우는 약 1%로 알려져 있고, Mazabraud 증후군의 섬유성 이형성에서 발생한 골육종으로 악성 변환에 대한 보고는 아직까지 전 세계에 8예에 불과하다. 저자들은 Mazabraud 증후군 환자에서 섬유성 이형성이 있었던 경골에 골육종이 발생한 증례를 경험하였기에 영상 소견을 중심으로 대한민국에서 처음으로 보고한다.

Keywords

References

  1. Cabral CE, Guedes P, Fonseca T, Rezende JF, Cruz Junior LC, Smith J. Polyostotic fibrous dysplasia associated with intramuscular myxomas: Mazabraud's syndrome. Skeletal Radiol 1998;27:278-282 
  2. Chun KA, Kim KT, Kim YJ, Maeng LS, Lee EJ. Fibrous dysplasia associated with intramuscular myxoma (Mazabraud's syndrome): a case report. J Korean Radiol Soc 1999;40:975-978 
  3. Multani I, Popovic S, Parasu N, Ghert M. Osteosarcomatous transformation in the setting of Mazabraud's syndrome: a case report and review of the literature. Case Rep Orthop 2019;2019:2638478 
  4. Iwasko N, Steinbach LS, Disler D, Pathria M, Hottya GA, Kattapuram S, et al. Imaging findings in Mazabraud's syndrome: seven new cases. Skeletal Radiol 2002;31:81-87 
  5. Majoor BCJ, van de Sande MAJ, Appelman-Dijkstra NM, Leithner A, Jutte PC, Velez R, et al. Prevalence and clinical features of Mazabraud syndrome: a multicenter European study. J Bone Joint Surg Am 2019;101:160-168 
  6. Ruggieri P, Sim FH, Bond JR, Unni KK. Malignancies in fibrous dysplasia. Cancer 1994;73:1411-1424 
  7. Fitzpatrick KA, Taljanovic MS, Speer DP, Graham AR, Jacobson JA, Barnes GR, et al. Imaging findings of fibrous dysplasia with histopathologic and intraoperative correlation. AJR Am J Roentgenol 2004;182:1389-1398 
  8. Huvos AG, Higinbotham NL, Miller TR. Bone sarcomas arising in fibrous dysplasia. J Bone Joint Surg Am 1972;54:1047-1056 
  9. Kumar R, Madewell JE, Lindell MM, Swischuk LE. Fibrous lesions of bones. Radiographics 1990;10:237-256 
  10. Liu PP, Leung KS, Kumta SM, Lee KM, Fung KP. Bone-specific alkaline phosphatase in plasma as tumour marker for osteosarcoma. Oncology 1996;53:275-280