Akinsulire Adewole Tayo, Badmus Olakunle Olaleke, Giwa Suleiman Olayiwola
Department of Orthopaedics and Trauma, Lagos University Teaching Hospital, Lagos, Nigeria.
Department of Surgery, College of Medicine, University of Lagos/Lagos University Teaching Hospital, Lagos, Nigeria.
Niger Postgrad Med J. 2017 Oct-Dec;24(4):250-253. doi: 10.4103/npmj.npmj_133_17.
We report a case of a 28-year-old female who presents with painless, progressively increasing left upper chest swelling of 6 months duration. Examination revealed a 20 by 10 cm firm mass arising from the clavicle. She was investigated and a diagnosis established based on the histological report. The tumour was excised with a wide margin and reconstruction done with an autogenous fibula graft. Full functional ability was restored in limb with the radiological union. After 5 years of regular follow-up, there was no evidence of recurrence and shoulder function remained excellent. The successful management of this patient shows wide local excision and reconstruction as an excellent surgical option in treating giant cell tumour of the clavicle.
我们报告一例28岁女性患者,其左上胸部出现无痛性、进行性增大的肿胀,持续6个月。检查发现一个从锁骨长出的20×10厘米的坚实肿块。对她进行了检查,并根据组织学报告做出了诊断。肿瘤被广泛切除,并采用自体腓骨移植进行重建。随着影像学上的骨愈合,肢体恢复了完全的功能能力。经过5年的定期随访,没有复发迹象,肩部功能仍然良好。该患者的成功治疗表明,广泛局部切除和重建是治疗锁骨巨细胞瘤的一种优秀手术选择。