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股骨纤维肉瘤的手术治疗方案。9年随访经验。

Surgical solution of femoral fibrosarcoma. Experience obtained by a 9-year follow-up.

作者信息

Szabó Z, Riskó T, Udvarhelyi I, Jakab G, Kovács L, Bély M

机构信息

Department of Orthopaedics, Postgraduate School of Medicine-National Institute of Rheumatology and Balneotherapy, Budapest, Hungary.

出版信息

Acta Chir Hung. 1989;30(1):71-84.

PMID:2718680
Abstract

Biopsy followed by tumour removal and replacement by autologous bone tumour at the distal end of the femur were performed. Histologically, the tumour proved to be benign. Three years later progression was observed and epiphyseodiaphyseal resection was made because of on excessive tumour. Histology revealed a fibrosarcoma. Consolidation was hindered by osteomyelitis and fracture, recovery could be achieved only by a series of operations. These histological and operative difficulties are documented and the importance of extremity-saving operations is discussed. Our patient has been free of complaints 9 years after epiphyseodiaphyseal reseaction.

摘要

对股骨远端进行活检,随后切除肿瘤并采用自体骨肿瘤进行置换。组织学检查显示该肿瘤为良性。三年后观察到病情进展,因肿瘤过大进行了骨骺骨干切除术。组织学检查显示为纤维肉瘤。骨髓炎和骨折阻碍了骨愈合,只能通过一系列手术实现康复。记录了这些组织学和手术方面的困难,并讨论了保肢手术的重要性。我们的患者在骨骺骨干切除术后9年无不适症状。

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