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足部第一跖趾关节处伴有骨关节炎的骨外软骨瘤

Extraskeletal Chondroma with Concomitant Arthrosis of the Foot at the First Metatarsophalangeal Joint .

作者信息

Prins Dustin, Fuchs Lisa

出版信息

J Am Podiatr Med Assoc. 2017 Nov;107(6):561-564. doi: 10.7547/15-047.

Abstract

Extraskeletal chondroma is a benign tumor that is found most often in the fingers but can be found in the feet as well. A symptom of this lesion is pressure from the slow-growing mass. We present the case of a 58-year-old woman who presented with an extraskeletal chondroma in the plantar aspect of the left first metatarsophalangeal joint with concomitant symptomatic arthrosis at the joint. Operative treatment was excision of the lesion in addition to arthrodesis of the joint attributable to the presence of symptomatic arthrosis. The patient was seen approximately 1 year postoperatively and had no postoperative complications. Distinction between extraskeletal chondromas and other lesions, such as extraskeletal myxoid chondrosarcomas, is critical because delayed treatment of the latter has the propensity to lead to detriment to the patient. Therefore, proper diagnosis is critical.

摘要

骨外软骨瘤是一种良性肿瘤,最常发生于手指,但也可见于足部。该病变的一个症状是生长缓慢的肿块产生的压迫感。我们报告一例58岁女性病例,其左第一跖趾关节跖侧出现骨外软骨瘤,同时该关节伴有症状性关节炎。由于存在症状性关节炎,手术治疗包括切除病变以及关节融合术。术后约1年对患者进行复查,未发现术后并发症。区分骨外软骨瘤与其他病变,如骨外黏液样软骨肉瘤,至关重要,因为后者延误治疗有对患者造成损害的倾向。因此,正确诊断至关重要。

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