Silva Paulo, Amaral Rogério Andrade do, Oliveira Leandro Alves de, Moraes Frederico Barra de, Chaibe Eduardo Damasceno
Universidade Federal de Goiás (UFG), Faculdade de Medicina, Hospital das Clínicas, Goiânia, GO, Brazil.
Rev Bras Ortop. 2016 Oct 4;51(6):739-743. doi: 10.1016/j.rboe.2016.09.006. eCollection 2016 Nov-Dec.
The authors present the case of a patient with a giant cell tumor of the left femoral neck, with adjacent progressive invasion of bone tissue. Initial treatment was done with local curettage and autologous bone graft from fibula, electrocauterization and filling with methyl methacrylate. A local tumoral relapse was present after one year; therefore a new surgical procedure was necessary, with proximal femoral wide resection and unconventional endoprosthesis fixation. The article discusses the clinical aspects and surgical treatment. This report aimed to demonstrate the necessity to perform wide resection for giant cell tumor of the femoral neck, prioritizing total resection of the tumor and its local extension, preserving limb integrity and demonstrating the complete failure of preserving surgery in cases of femoral neck involvement.
作者介绍了一例左股骨颈巨细胞瘤患者的病例，该肿瘤伴有相邻骨组织的进行性侵犯。初始治疗采用局部刮除术及取自腓骨的自体骨移植、电灼术并填充甲基丙烯酸甲酯。一年后出现局部肿瘤复发；因此需要进行新的手术，即股骨近端广泛切除及非常规的假体固定。本文讨论了临床情况及手术治疗。本报告旨在证明对股骨颈巨细胞瘤进行广泛切除的必要性，优先考虑肿瘤及其局部扩展的完全切除，保留肢体完整性，并证明在股骨颈受累的病例中保肢手术完全失败。
