Ozkoc Gurkan, Gonlusen Gulfiliz, Ozalay Metin, Kayaselcuk Fazilet, Pourbagher Aysin, Tandogan Reha N
Department of Orthopedics and Traumatology, Adana Medical Center, School of Medicine, Baskent University, 01250 Adana, Turkey.
Skeletal Radiol. 2006 Jan;35(1):42-8. doi: 10.1007/s00256-005-0917-8. Epub 2005 Jul 9.
A 53-year-old man presented with a 12-year history of a progressively growing solid mass at his left shoulder. A 39x30x18-cm and 14.440-kg mass including the scapula was resected. Pathologic features were specific for chondroblastoma. During the 36-month follow-up, he had multiple inoperable metastatic lesions in his lungs. Histology of the transthoracic needle biopsy showed the metastatic nodules had features specific for chondroblastoma; however, the microscopic features additionally had hyperchromasia and increased mitotic activity in some areas. In the English literature, there are a few cases of chondroblastoma located in the scapula. It is exceptional to see this lesion in the sixth decade of life and with pulmonary metastases.
一名53岁男性，其左肩处有一逐渐增大的实性肿块，病史长达12年。切除了一个包括肩胛骨在内、大小为39×30×18厘米、重达14.440千克的肿块。病理特征符合软骨母细胞瘤。在36个月的随访期间，他肺部出现了多个无法手术切除的转移病灶。经胸针吸活检的组织学检查显示，转移结节具有软骨母细胞瘤的特征；然而，显微镜下特征在某些区域还伴有核深染和有丝分裂活性增加。在英文文献中，有少数软骨母细胞瘤位于肩胛骨的病例。在60岁时出现这种病变并伴有肺转移实属罕见。
