Niemeyer Philipp, Ludwig Karl, Werner Mathias, Bernd Ludger, Parsch Dominik
Orthopedic University Hospital, Heidelberg, Germany.
World J Surg Oncol. 2004 Nov 23;2:38. doi: 10.1186/1477-7819-2-38.
Benign fibrous histiocytomas (BFH) usually presents as a small benign lesion that predominantly occurs in the skin. Only few cases of BFH arising from bone have been reported, its occurrence in pelvic bones is even rarer.
A 34-year-old female presented with BFH at a rare anatomical location on both sides of the os ilium which was larger than earlier reported BFH of the bone. Surgical resection was performed successfully including resection of the inner pelvic ring and reconstruction of the linea terminalis using a non-vascularized fibular autograft. At 18 months after tumor resection and reconstruction of the pelvic ring, with interposition of a free vascularized fibula graft patient has an excellent clinical oncological and functional outcome.
Non vascularized fibular autograft is a useful reconstructive procedure in select patients.
良性纤维组织细胞瘤(BFH)通常表现为主要发生于皮肤的小的良性病变。仅有少数起源于骨的BFH病例报道,其发生于骨盆骨者更为罕见。
一名34岁女性在双侧髂骨罕见的解剖位置出现BFH,其尺寸大于先前报道的骨源性BFH。成功实施了手术切除,包括切除骨盆内环并使用非血管化腓骨自体移植重建耻骨梳韧带。在肿瘤切除及骨盆环重建18个月后,通过置入游离血管化腓骨移植,患者获得了出色的临床肿瘤学及功能预后。
非血管化腓骨自体移植对特定患者而言是一种有效的重建手术。