Lucas D, Tupler R, Enneking W F
Orthopedic Surgery, Medical University of South Carolina, Charleston.
J Fla Med Assoc. 1990 Jan;77(1):24-8.
The malignant transformation of enchondromas in patients with Ollier's Disease is a well known occurrence although few studies have prospectively followed patients with this disease and reviewed the frequency of this process. When malignant degeneration occurs, usually only one focus is noted even though others potentially may be involved. This paper represents a case report in which two separate locations of chondrosarcoma were found. Discussion includes chondrosarcomatous transformation of enchondromas, radiographic findings in this transformation, and treatment of multicentric chondrosarcomas in a patient with Ollier's Disease.
骨软骨瘤病患者的内生软骨瘤发生恶性转化是一种广为人知的现象,尽管很少有研究对患有这种疾病的患者进行前瞻性跟踪并回顾这一过程的发生率。当发生恶性退变时,通常仅发现一个病灶,即使其他部位可能也有潜在受累。本文报告了一例发现两个独立部位软骨肉瘤的病例。讨论内容包括内生软骨瘤的软骨肉瘤转化、这种转化的影像学表现以及骨软骨瘤病患者多中心软骨肉瘤的治疗。