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婴儿开胸手术瘢痕处的侵袭性肿瘤性钙化症。

Aggressive tumoral calcinosis in an infant thoracotomy scar.

作者信息

Kadlec Jakub, Hucin Bohumil, Tlaskal Tomas, Westaby Stephen

机构信息

Department of Thoracic Surgery, Norfolk and Norwich University Hospital, Colney Lane, Colney, Norwich NR4 7UY, UK.

出版信息

Interact Cardiovasc Thorac Surg. 2010 Dec;11(6):864-5. doi: 10.1510/icvts.2009.232116. Epub 2010 Sep 21.

DOI:10.1510/icvts.2009.232116
PMID:20858653
Abstract

The authors report a case of tumoral calcinosis (TC) in a six-month-old infant, which developed within the thoracotomy scar from previous aortic coarctation repair. After initial resection of the lesion, the child returned with a large mass of TC restricting movement of the left shoulder. Repeated total resection was successful with no recurrence in 12 months' follow-up. This is the first report of TC that developed in a postoperative scar and is unusual in its recurrence and aggressive growth. Pathogenesis, diagnosis and treatment of this rare event is discussed.

摘要

作者报告了一例6个月大婴儿的肿瘤性钙化症(TC),该病症发生于先前主动脉缩窄修复术后的开胸手术瘢痕内。在最初切除病变后,患儿因左肩部有一大块限制活动的TC肿块而复诊。重复进行全切除手术成功,随访12个月无复发。这是首次关于在术后瘢痕中发生TC的报告,其复发和侵袭性生长情况较为罕见。本文讨论了这一罕见病例的发病机制、诊断和治疗。

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