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右手常规型软骨肉瘤伴豌豆骨和钩骨侵犯——病例报告

Conventional chondrosarcoma in the right hand with the invasion of the pisiform and the hamate bones - case report.

作者信息

Pop Daniel LaurenŢiu, Motoc Andrei Gheorghe Marius, Hărăguş Horia George, Ciupe Bogdan Cătălin, Iacob Mihaela, Vermeşan Dinu, Prejbeanu Radu, MaliŢa Daniel Claudiu, Zamfir Carmen Lăcrămioara, Folescu Roxana

机构信息

Department of Medical Radiology and Imagistics, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania;

出版信息

Rom J Morphol Embryol. 2017;58(1):271-275.

Abstract

Chondrosarcoma is a malignant hyaline cartilage forming tumor. It is a rare pathology, with an estimated incidence of one in 200 000 individuals per year. It appears in two forms: primary, representing 90% of all cases and secondary emergence that develops on preexistent lesions. Primary chondrosarcomas are uncommon in the hand, with a frequency of only 1.5-3.2% of all chondrosarcomas. In conventional chondrosarcoma (cCS), the histological malignancy grading represents the main prognostic factor for surgical planning and prognosis. We present the case of a 60-year-old male, examined in the First Department of Orthopedics and Traumatology, "Dr. Pius Branzeu" Clinical Hospital, Timisoara, Romania, with non-specific symptoms in the right hand. After clinical examination and imagistics, surgery and histopathological examination of the tumor were performed. This showed a conventional well differentiated - G1 chondrosarcoma, as suggested also by imagistic and clinical context.

摘要

软骨肉瘤是一种形成恶性透明软骨的肿瘤。它是一种罕见的病理类型,估计每年发病率为二十万分之一。它有两种表现形式:原发性,占所有病例的90%,以及继发于先前存在病变的继发性出现。原发性软骨肉瘤在手部并不常见,仅占所有软骨肉瘤的1.5 - 3.2%。在传统软骨肉瘤(cCS)中,组织学恶性分级是手术规划和预后的主要预后因素。我们报告一例60岁男性病例,该患者在罗马尼亚蒂米什瓦拉“皮乌斯·布兰泽乌医生”临床医院骨科与创伤科一部接受检查,右手出现非特异性症状。经过临床检查和影像学检查后,对肿瘤进行了手术及组织病理学检查。结果显示为传统的高分化 - G1级软骨肉瘤,影像学和临床情况也提示了这一点。

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