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年轻男性的持续性肩部疼痛：骨肉瘤

Persistent Shoulder Pain in Young Male: Osteosarcoma.

作者信息

Arinima Punitha, Ishak Azlina

机构信息

Kota Bharu Health Centre, Kelantan, Malaysia.

Department of Family Medicine, Universiti Sains Malaysia, Kelantan, Malaysia.

出版信息

Korean J Fam Med. 2018 Jul;39(4):266-269. doi: 10.4082/kjfm.17.0117. Epub 2018 Jul 4.

DOI:10.4082/kjfm.17.0117
PMID:29972896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6056409/
Abstract

A 16-year-old Malay boy presented to Kota Bharu Health Care Centre, Kelantan, with left shoulder pain after sustaining a fall. On further history taking, it was noted that the pain preceded the fall by 1 month. The early changes of osteosarcoma were visible on an X-ray during the initial presentation; however, this was missed by the primary care doctors. Three months later, the patient presented with persistent pain in the left shoulder and was diagnosed with osteosarcoma.

摘要

一名16岁的马来男孩因摔倒后出现左肩疼痛，前往吉兰丹哥打巴鲁医疗中心就诊。在进一步询问病史时，发现疼痛在摔倒前1个月就已出现。初次就诊时，X线片上可见骨肉瘤的早期变化；然而，初级保健医生并未发现。三个月后，患者因左肩持续疼痛前来就诊，被诊断为骨肉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a8a/6056409/856e38e28a23/kjfm-17-0117f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a8a/6056409/d2ebf848e204/kjfm-17-0117f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a8a/6056409/27d73282ae9d/kjfm-17-0117f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a8a/6056409/856e38e28a23/kjfm-17-0117f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a8a/6056409/d2ebf848e204/kjfm-17-0117f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a8a/6056409/27d73282ae9d/kjfm-17-0117f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a8a/6056409/856e38e28a23/kjfm-17-0117f3.jpg

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本文引用的文献

1
Routes to Diagnosis for Suspected Sarcoma: The Impact of Symptoms and Clinical Findings on the Diagnostic Process.疑似肉瘤的诊断途径：症状和临床检查结果对诊断过程的影响。
Sarcoma. 2016;2016:8639272. doi: 10.1155/2016/8639272. Epub 2016 Dec 26.
2
Imaging investigations before referral to a sarcoma center delay the final diagnosis of musculoskeletal sarcoma.在转诊至肉瘤中心之前进行影像学检查会延迟肌肉骨骼肉瘤的最终诊断。
Acta Orthop. 2017 Apr;88(2):211-216. doi: 10.1080/17453674.2016.1278113. Epub 2017 Jan 12.
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[Lymph node metastasis of osteosarcomas].
[骨肉瘤的淋巴结转移]
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Prog Tumor Res. 2016;43:128-41. doi: 10.1159/000447083. Epub 2016 Sep 5.
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Clin Orthop Surg. 2014 Jun;6(2):230-5. doi: 10.4055/cios.2014.6.2.230. Epub 2014 May 16.
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