巨大黏液样软骨肉瘤向胸腔扩展并累及脊柱。
Huge myxoid chondrosarcoma expanded into the thoracic cavity with spinal involvement.
机构信息
Department of Orthopedic, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China.
Academy of Orthopaedics, Guangdong Province, Guangzhou, 510630, China.
出版信息
Eur Spine J. 2019 Jun;28(Suppl 2):25-30. doi: 10.1007/s00586-018-5689-7. Epub 2018 Jul 4.
PURPOSE
En bloc resection is the treatment of choice of myxoid chondrosarcoma. These tumors can produce huge masses. Anatomical constraints limit the possibility to perform en bloc resection in the spine.
METHODS
A very huge myxoid chondrosarcoma (14.2 × 10.8 × 11.4 cm) arising from T2 to T5 and invading the whole higher left pleural cavity was observed. Surgical planning according to WBB staging system was performed.
RESULTS
The tumor was successfully submitted to en bloc resection achieving a tumor-free margin as demonstrated by the pathologist's report.
CONCLUSIONS
A careful planning and a multidisciplinary collaboration make possible to perform en bloc resection even in apparently impossible cases.
目的
整块切除术是黏液样软骨肉瘤的首选治疗方法。这些肿瘤可能会形成巨大的肿块。解剖学限制了在脊柱中进行整块切除术的可能性。
方法
观察到一个起源于 T2 至 T5 并侵犯整个左胸腔上部的巨大黏液样软骨肉瘤（14.2×10.8×11.4 cm）。根据 WBB 分期系统进行了手术计划。
结果
肿瘤成功地进行了整块切除术，并通过病理学家的报告证实了无肿瘤切缘。
结论
仔细的计划和多学科合作使得即使在看似不可能的情况下也能够进行整块切除术。
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