Grimer Robert J, Crockett Stephen C
Royal Orthopaedic Hospital, Birmingham, UK.
School of Clinical and Experimental Medicine, University of Birmingham, Birmingham, UK
J Surg Case Rep. 2015 Jan 18;2015(1):rju151. doi: 10.1093/jscr/rju151.
We report the case of a 45-year-old woman who presented with a lump in the mid-third of the left clavicle, which had recently increased in size to 10 cm in diameter. Plain X-ray, computed tomography and bone scans suggested that the lump was a parosteal osteosarcoma. Due to the expected 30% functional loss from claviculectomy [Wood in The results of total claviculectomy. Clin Orthop Relat Res 1986; 207: :186-90.], the patient opted for excision of the tumour plus the adjacent clavicle, irradiation and reimplantation of the bone with internal fixation. On 2-year follow-up, there was no evidence of recurrence or complications, with a good range of movement of the joint. On 4-year follow-up, the patient was found to have discomfort, and X-rays showed that the clavicle had fractured, which was managed symptomatically.
我们报告了一例45岁女性病例，该患者左锁骨中三分之一处出现肿块，近期肿块大小增至直径10厘米。X线平片、计算机断层扫描和骨扫描提示该肿块为骨膜骨肉瘤。由于预计锁骨切除术会导致30%的功能丧失[Wood于《全锁骨切除术的结果》中提及。《临床骨科学及相关研究》1986年；207:186 - 90。]，患者选择切除肿瘤及相邻锁骨、进行放疗并植入骨块并内固定。在2年的随访中，没有复发或并发症的迹象，关节活动范围良好。在4年的随访中，发现患者有不适，X线显示锁骨骨折，对其进行了对症处理。
