Erler Kaan, Yildiz Cemil, Demiralp Bahtiyar, Ozdemir M Taner, Basbozkurt Mustafa
Orthopaedic Department, Gulhane Military Medical Academy, Ankara, Turkey.
Acta Orthop Belg. 2003 Oct;69(5):467-72.
The authors report a case of chondroblastoma which was localised in the distal femoral epiphysis in a 16-year-old boy. The lesion was large, rapidly expanding and extended into the knee joint. After diagnostic evaluation including tru-cut biopsy, the lesion was treated surgically with curettage and grafting with coralline hydroxyapatite. Four months after surgery the patient had no pain and had nearly full range of motion of the left knee. He was followed up for thirty-five months with routine radiographs and physical examination. He had no recurrence, no pain, and regained full range of motion of his knee. Most chondroblastomas involve the medullary cavity; they may rarely involve the cortex but to the best of our knowledge, no cases with soft tissue involvement have been reported in the literature.
作者报告了一例软骨母细胞瘤病例，该病例发生在一名16岁男孩的股骨远端骨骺。病变较大，迅速扩展并累及膝关节。在包括切割活检在内的诊断评估后，对病变进行了刮除术并用珊瑚羟基磷灰石移植的手术治疗。术后四个月，患者无疼痛，左膝关节活动范围几乎完全恢复。通过常规X线片和体格检查对他进行了35个月的随访。他没有复发，没有疼痛，膝关节活动范围完全恢复。大多数软骨母细胞瘤累及髓腔；它们很少累及皮质，但据我们所知，文献中尚未报道有软组织受累的病例。
