Gabbay S, Bennett R D, Amato J, Cherny E J
Department of Cardiothoracic Surgery, University of Medicine and Dentistry of New Jersey, Newark 07103.
Ann Thorac Surg. 1989 Sep;48(3):428-31. doi: 10.1016/s0003-4975(10)62874-3.
The rarity of sternal tumors makes a good comparative study a difficult task. Controversies exist on questions of method of surgical diagnosis, the extent of the surgical procedure, and the different ways and means of reconstruction. We describe a case that was believed to be a clear case of chondrosarcoma but was actually a plasmacytoma. From the evidence of this case and a review of the literature we conclude that almost any plasmacytoma should be considered generalized multiple myeloma. Biopsy should be performed in all cases of sternal tumor before any surgical action is taken.
胸骨肿瘤的罕见性使得开展一项良好的对比研究成为一项艰巨任务。在手术诊断方法、手术操作范围以及重建的不同方式和手段等问题上存在争议。我们描述了一例原本被认为是软骨肉瘤明确病例但实际却是浆细胞瘤的情况。基于该病例的证据以及文献回顾，我们得出结论，几乎任何浆细胞瘤都应被视为全身性多发性骨髓瘤。在对任何胸骨肿瘤病例采取手术行动之前都应进行活检。
