年轻病人的股骨远端骨软骨瘤:肿瘤学病例报告

ISSN:2705-098X(P)

EISSN:2705-0505(O)

语言:中文

作者
Komang Septian Sandiwidayat
文章摘要
背景:骨软骨瘤是最常见的原发性骨肿瘤,表现为无痛、缓慢生长的肿块。除了无症状的表现外,该肿瘤恶变潜力,因此需要进行适当的处理。本研究的目的是讨论可能的临床结果,以正确诊断和处理这个罕见的病例,这可能为该患者带来一个良好的结果。病例介绍:一名17岁的男性主诉其右大腿后面有一个缓慢生长的肿块。体检时,发现一个7cm×6cm的肿块,触诊时有轻微压痛。基于这些临床和影像学检查结果,我们通知并征得患者同意进行手术,然后进行组织病理学检查。组织病理学检查证实右股骨远端有骨软骨瘤。结果:手术对肿瘤进行了根治性切除,随后进行了组织病理学检查,确诊为骨软骨瘤。手术后一周,进行了手术后的伤口护理,显示效果很好,没有任何感染或并发症迹象。结论:疼痛性骨软骨瘤的典型表现可能与对周围神经和血管结构的机械压迫有关。手术切除是一种适当的处理方法,可以持续缓解骨软骨瘤病例的疼痛和畸形。
文章关键词
动静脉畸形;CT扫描;罕见病例;栓塞治疗
参考文献
[1] Alyas F, James SL, Davies AM, Saifuddin A (2007). The role of MR imaging in the diagnostic characterisation of appendicular bone tumours and tumour-like conditions. Eur Radiol. 17(10): 2675–2686. DOI: 10.1007/s00330-007-0597-y. [2] Bottner F, Rodl R, Kordish I, Winklemann W, Gosheger G, Lindner N (2003). Surgical treatment of symptomatic osteochondroma. A three- to eight-year follow-up study. J Bone Joint Sr. 85(8): 1161–1165. DOI: 10.1302/0301-620X.14059. [3] Florez B, Mönckeberg J, Castillo G, Beguiristain J (2008). Solitary osteochondroma long-term follow-up. J Pediatr Orthop B. 17(2): 91–94. DOI: 10.1097/BPB.0b013e3282f450c3. [4] Gavanier M, Blum A (2017) Imaging of benign complications of exostoses of the shoulder, pelvic girdles and appendicular skeleton. Diagn. Interven. Imaging. 98(1): 21–28. DOI: 10.1016/j.diii.2015.11.021. [5] Hassankhani EG (2009). Solitary lower lumbar osteochondroma (spinous process of L3 involvement): a case report. Cases Journal. 2(1): 9359. DOI: 10.1186/1757-1626-2-9359. [6] Jeevannavar SS, Shenoy KS, Baindoor P, Shettar CM (2013). Giant osteochondroma lower end of femur - A case report. IOSR – JDMS. 4(1):1-33. [7] Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, Bai M (2008). Osteochondromas: review of the clinical, radiological and pathological features. In vivo. 22(5): 633–46. [8] Maheshwari AV, Jain AK, Dhammi IK (2006). Extraskeletal paraarticular osteochondroma of the knee—a case report and tumor overview. The Knee 13(5): 411–414. DOI: 10.1016/j.knee.2006.05.008. [9] Mnif H, Koubaa M, Zrig M, Zammel N, Abid A (2009). Peroneal nerve palsy resulting from fibular head osteochondroma. Orthopedics. 32(7): 528. DOI: 10.3928/01477447-20090527-24. [10] Motamedi K and Seeger LL (2011). Benign Bone Tumors. Radiol Clin North Am. 49(6): 1115–1134. DOI: 10.1016/j.rcl.2011.07.002. [11] Passanise AM, Mehlman CT, Wall EJ, Dieterle JP (2011). Radiographic Evidence of Regression of a Solitary Osteochondroma. J Pediatr Orthop. 31(3): 312–316. DOI: 10.1097/BPO.0b013e31820fc676. [12] Raherinantenaina F, Rakoto-ratsimba HN, Rajaonanahary TMA (2016). Management of extremity arterial pseudoaneurysms associated with osteochondromas. Vascular. 24(6): 628–637. DOI: 10.1177/1708538116634532. [13] Salgia A, Biswas S, Agarwal T, Sanghi S (2013). A rare case presentation of osteochondroma of scapula. Med. J. Dr. D.Y. Patil Univ. 6(3): 338. DOI: 10.4103/0975-2870.114673. [14] Singh R (2012). Large para-articular osteo-chondroma of the knee joint: a case report. Acta Orthop Traumatol Turc. 46(2): 139–143. DOI: 10.3944/AOTT.2012.2542. [15] Stitzman-Wengrowicz ML, Pretell-Mazzini J, Dormans JP, Davidson RS (2011). Regression of a Sessile Osteochondroma: A Case Study and Review of the Literature. University Of Pennsylvania Orthopaedic Journal 21:73-6. [16] Tepelenis K, Papathanakos G, Kitsouli A, Troupis T, Barbouti A, Vlachos K, Kanavaros P, Kitsoulis P (2021). Osteochondromas: An Updated Review of Epidemiology, Pathogenesis, Clinical Presentation, Radiological Features and Treatment Options. In Vivo. 35(2): 681–691. DOI: 10.21873/invivo.12308. [17] Tristano AG, Hernández L, Villarroel J, Millan A (2006). Coexistence of osteochondroma and reactive arthritis. Mod Rheumatol. 16(5): 332–333. DOI: 10.3109/s10165-006-0512-4.
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