Pediatric Surgery Unit, DMCP, Hôpital de l'Enfance, CHUV, Lausanne, Switzerland.
World J Surg Oncol. 2013 Aug 12;11(1):188. doi: 10.1186/1477-7819-11-188.
Osteosarcoma metastasis causing intussusception is a very rare entity, with a pejorative prognosis. Based on a case, we performed a literature review in order to better assess this situation. We conclude that, in patients with a history of osteosarcoma lung metastasis, echographic and/or computed tomography scan evidence of a small bowel obstruction with intussusception should lead to an open surgical procedure if the laparoscopic approach does not allow to accurately explore and resect the lesion, in order to prevent misdiagnosis and to avoid further delay in the management.
骨肉瘤转移导致肠套叠是一种非常罕见的疾病,预后较差。基于这一病例,我们进行了文献回顾,以更好地评估这种情况。我们得出结论,对于有骨肉瘤肺转移病史的患者,如果腹腔镜方法不能准确探查和切除病变,应行剖腹手术,以防止漏诊,并避免进一步延误治疗。