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继发于Ollier病的肱骨近端软骨肉瘤:人工肱骨头置换成功切除肿瘤后的8年随访

Chondrosarcoma of the proximal humerus secondary to ollier disease: an 8-year follow-up of successful resection of the tumor with endoprosthetic replacement of the proximal humerus.

作者信息

Zheng Kang, Peng Zhao Xiang, Zheng Ping Pin

机构信息

Department of Orthopedics, Li hui li Hospital, Ningbo Medical Center, Ningbo, Zhejiang, China.

Department of Pathology, Erasmus Medical Center, Rotterdam, The Netherlands.

出版信息

J Clin Med Res. 2014 Jun;6(3):218-22. doi: 10.14740/jocmr1777w. Epub 2014 Mar 31.

Abstract

We present a 25-year-old male patient with a diagnosis of multiple enchondromatosis, who developed chondrosarcoma on the proximal humerus of the right upper limb. The patient had the pre-existing lesions of Ollier's disease discovered during his childhood. The patient underwent wide resection of the sarcoma with a prosthetic replacement of the proximal humerus. So far we have followed up the patient for 8 years with no evidence of local recurrence and/or metastasis. The therapeutic results have been satisfied with a good functional recovery of the treated limb, enabling the patient to return to the pre-disease daily living and occupational activities. The reconstructive procedures represent an effective surgical strategy for limb salvage in the treatment of large segmental defects after resection of humeral tumors, substantially solving the functional and esthetic problems due to such a wide resection, and significantly improving the quality of life for the patient.

摘要

我们报告一名25岁男性患者,诊断为多发性内生软骨瘤病,其右上肢近端肱骨发生了软骨肉瘤。该患者在童年时期就已发现患有奥利尔病的原有病变。患者接受了肉瘤的广泛切除,并对近端肱骨进行了假体置换。到目前为止,我们已对该患者进行了8年的随访,没有局部复发和/或转移的迹象。治疗结果令人满意,治疗肢体功能恢复良好,使患者能够恢复到患病前的日常生活和职业活动。重建手术是治疗肱骨肿瘤切除后大段缺损肢体挽救的有效手术策略,基本解决了因如此广泛切除所导致的功能和美观问题,并显著提高了患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e13/3985566/1592fdb658ba/jocmr-06-218-g001.jpg

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