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骨巨细胞瘤——肱骨内侧髁溶骨性病变的一种非常罕见的鉴别诊断。

Giant cell tumour--a very rare differential for a lytic lesion of the medial condyle of the humerous.

作者信息

Prakash Jatin, Mehtani Anil, Baruah Tankeshwar

机构信息

LHMC, Delhi, India.

出版信息

BMJ Case Rep. 2015 Jun 25;2015:bcr2014209261. doi: 10.1136/bcr-2014-209261.

Abstract

Tumours are rare around the elbow joint, and giant cell tumours are especially rare in this region. A single case report of a giant cell involving the distal humerous was found in the literature and none were found involving the isolated medial condyle. We present a rare case of a 22-year-old woman with progressively increasing painful swelling in her left elbow over a period of 6 months. A plain radiograph revealed an expansile epiphyseometaphyseal, radiolucent lesion in the medial end of the distal humerous, with the rim being thin but still intact. The MRI of the elbow revealed a solid lesion in the medial aspect of the elbow with no breach of cortex. Biopsy of the lesion revealed multinucleated giant cells along with mononuclear cells consistent with a diagnosis of giant cell tumour. Extended curettage with bone cement was performed through an anterior approach. There has been no recurrence of the tumour in 2 years of follow-up; the patient has a good range of elbow movements of 20-110°.

摘要

肿瘤在肘关节周围较为罕见,而巨细胞瘤在该区域尤为罕见。文献中仅发现一例累及肱骨远端的巨细胞瘤病例报告,未发现累及孤立内侧髁的病例。我们报告一例罕见病例,一名22岁女性,其左肘疼痛性肿胀在6个月内逐渐加重。X线平片显示肱骨远端内侧干骺端有一膨胀性、透光性病变,边缘薄但仍完整。肘部MRI显示肘部内侧有一实性病变,皮质未被破坏。病变活检显示多核巨细胞以及单核细胞,符合巨细胞瘤的诊断。通过前路进行了扩大刮除并植入骨水泥。随访2年肿瘤无复发;患者肘关节活动范围良好,为20°至110°。

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