Obata H, Kido M, Kim S T, Nagata N, Yoshimatsu H
Division of Pulmonary Disease, University of Occupational and Environmental Health, Kitakyushu.
Nihon Kyobu Shikkan Gakkai Zasshi. 1991 Aug;29(8):1070-4.
An unusual case of a benign giant cell tumor of bone with pulmonary metastasis is reported. A 23-year-old man had a painful tumor in the right radial olecranon that proved to be a histologically benign giant cell tumor. Curettage and bone-grafting were performed, but the tumor recurred twice, 8 months and 20 months after initial treatment. Histological examination of biopsy materials from the recurring tumor showed typical benign giant cell tumors. Five years later, wedge resections were performed for bilateral pulmonary nodules, which had been detected by chance. The pulmonary nodules turned out to be histologically similar to the primary tumor of the olecranon. Almost 7 years later, he was asymptomatic and the chest radiograph was clear, and there was no local recurrence of the lesion.
报告了一例罕见的骨良性巨细胞瘤伴肺转移病例。一名23岁男性右侧桡骨鹰嘴处有一疼痛性肿瘤,经组织学检查证实为良性巨细胞瘤。进行了刮除术和骨移植,但肿瘤在初次治疗后8个月和20个月复发了两次。对复发性肿瘤活检材料的组织学检查显示为典型的良性巨细胞瘤。五年后,对偶然发现的双侧肺结节进行了楔形切除术。肺结节在组织学上与鹰嘴的原发肿瘤相似。将近7年后,他没有症状,胸部X光片清晰,病变无局部复发。