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距骨侵袭性巨细胞瘤伴肺转移——一种罕见的表现。

Aggressive giant cell tumour of talus with pulmonary metastasis-a rare presentation.

作者信息

Kumar B Udaya, Sharma P Ravi, Ram G Santhosh, Kumar P Varun

机构信息

Professor and HOD, Department of Orthopaedics, King George Hospital, Andhra Medical College , Visakhapatnam, Andhra Pradesh, India .

Resident, Department of Orthopaedics, King George Hospital, Andhra Medical College , Visakhapatnam, Andhra Pradesh, India .

出版信息

J Clin Diagn Res. 2014 Jul;8(7):LD01-3. doi: 10.7860/JCDR/2014/8117.4616. Epub 2014 Jul 20.

Abstract

Giant cell tumour (GCT) is a primary benign neoplasm of bone. It is classically described as a locally invasive tumour that occurs close to the joint of a mature bone. It accounts for 5% of all skeletal tumours. It usually originates from long bones. Giant Cell Tumour of the small bones of the hand and foot are relatively uncommon. Giant Cell Tumour of talus is a rare occurrence. We report a rare presentation of giant cell tumour of the talus in a 62-year-old farmer treated by talectomy and tibiocalcaneal fusion, who later presented with features suggestive of recurrence and secondaries in chest within six months following surgical resection of the primary. Below knee amputation was performed to manage the recurrence. At two years follow-up the patient showed no further progression of pulmonary metastasis or local recurrence.

摘要

骨巨细胞瘤(GCT)是一种原发性骨良性肿瘤。传统上它被描述为一种发生在成熟骨关节附近的局部侵袭性肿瘤。它占所有骨骼肿瘤的5%。它通常起源于长骨。手足小骨的骨巨细胞瘤相对少见。距骨骨巨细胞瘤则更为罕见。我们报告了一例62岁农民的距骨骨巨细胞瘤罕见病例,该患者接受了距骨切除和胫跟融合术治疗,术后6个月内出现提示复发及肺部转移的症状。为处理复发进行了膝下截肢术。随访两年,患者肺部转移或局部复发均未进一步进展。

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