Bulycheva I V, Makhson A N, Kuz'min I V, Denisov K A
Arkh Patol. 2009 Mar-Apr;71(2):20-4.
The paper gives a rare case of soft tissue chondroma in a 55-year-old female woman who has unsuccessfully received physiotherapeutic procedures for more than 6 months due to misdiagnosis. The patient detected the tumor herself. Clinical and X-ray diagnostic difficulties are considered. Differential diagnosis was made between synovial chondromatosis and chondrosarcoma. A correct diagnosis could be established only at open tumor biopsy. The neurovascular fascicle, tendons, and an intrinsic group of shoulder muscles could be preserved during radical surgery. The problems in the morphological diagnosis of extraskeletal chondroma are discussed in detail. The results of organ-preserving resection are presented.
本文报道了一例罕见的55岁女性软组织软骨瘤病例，该患者因误诊接受了6个多月的物理治疗但未成功。肿瘤由患者自己发现。文中考虑了临床和X线诊断的困难。对滑膜软骨瘤病和软骨肉瘤进行了鉴别诊断。只有在开放性肿瘤活检时才能确立正确诊断。根治性手术过程中可保留神经血管束、肌腱和肩部固有肌群。详细讨论了骨外软骨瘤形态学诊断中的问题。介绍了保器官切除的结果。
