Aycan Osman Emre, Sebastiani Elisa, Bianchi Giuseppe, Gambarotti Marco
Department of Musculoskeletal Oncology, Istituto Ortopedico Rizzoli, Bologna, Italy.
Department of Musculoskeletal Oncology, Istituto Ortopedico Rizzoli, Bologna, Italy.
Acta Orthop Traumatol Turc. 2019 Jan;53(1):68-73. doi: 10.1016/j.aott.2018.10.008. Epub 2018 Dec 3.
Tumor-to-tumor metastasis in the same bone is an extremely rare condition. Limited number of case reports exists for coincidence of benign and malign neoplasms but none for malignant to malignant metastasis. Occurrence of several individual malignancies in the same patient may eventually cause such coexistences. We report an Ollier's disease patient with malignant transformation to chondrosarcoma complicated by a pathologic fracture and eventually whose pathological examination revealed that the lesion was not only the chondrosarcoma but an accompanying metastasis from existing lung adenocarcinoma. This report includes clinical, radiological, histological diagnostic challenges in an unexpected lesion and a review of literature.
同一骨内肿瘤间转移是一种极其罕见的情况。关于良性和恶性肿瘤同时存在的病例报告数量有限,但恶性肿瘤间转移的报告尚无。同一患者出现多种个体恶性肿瘤最终可能导致这种共存情况。我们报告一例骨软骨瘤病患者发生恶变转化为软骨肉瘤,并伴有病理性骨折,最终病理检查显示病变不仅是软骨肉瘤,还存在来自现有肺腺癌的转移灶。本报告包括对这一意外病变的临床、放射学、组织学诊断挑战以及文献综述。