累及脊柱的胸廓巨细胞瘤：病例报告
Giant-cell tumor of the rib cage extending to the spine : Case report.
作者信息
Blanco Juan Francisco, Jiménez Marcelo, Rendón Diego, Pescador David, Villafañe Jorge Hugo, Garbossa Diego, Berjano Pedro
机构信息
IBSAL Salamanca, University Hospital of Salamanca, Salamanca, Spain.
IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
出版信息
Orthopade. 2018 May;47(5):437-441. doi: 10.1007/s00132-018-3554-3.
PURPOSE
We present the case of a patient with a giant cell tumor of the thoracic wall that invaded the thoracic spine.
MATERIAL AND METHODS
A giant cell tumor that affects the spine and the thoracic wall is very rare but can grow to a large size. We report a case of giant cell tumor of the left chest wall extending to the thoracic spine in a 28-year-old man. Positron emission tomography (PET) showed a tumor of 11 × 4 × 13 cm in size and the histopathology specimen of the first surgical procedure diagnosed a giant cell tumor. The tumor was treated by oblique osteotomy guided with pedicle wires.
RESULTS
A giant cell tumor was histologically confirmed following radical surgery. After 1 year of follow-up the patient was asymptomatic. There has been no recurrence of the tumor.
CONCLUSION
The use of transpedicular Kirschner wires could be a good technical support for transpedicular oblique sagittal osteotomy.
目的
我们报告一例胸壁巨细胞瘤侵犯胸椎的病例。
材料与方法
脊柱和胸壁受累的巨细胞瘤非常罕见，但可生长至很大体积。我们报告一名28岁男性，其左胸壁巨细胞瘤累及胸椎。正电子发射断层扫描（PET）显示肿瘤大小为11×4×13 cm，首次手术的组织病理学标本诊断为巨细胞瘤。采用椎弓根钢丝引导下斜行截骨术治疗该肿瘤。
结果
根治性手术后经组织学证实为巨细胞瘤。随访1年后，患者无症状，肿瘤无复发。
结论
使用椎弓根克氏针可为椎弓根斜行矢状截骨术提供良好的技术支持。
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