Wirth-Welle R B, Simon Q, Bonaccio M A
Klinik für Hand- und Plastische Chirurgie, Kantonsspital Frauenfeld, Spital Thurgau AG, Pfaffenholzstraße 4, 8500, Frauenfeld, Schweiz.
Pathologisches Institut Spital Thurgau, Kantonsspital Münsterlingen, Münsterlingen, Schweiz.
Orthopade. 2020 Jan;49(1):66-69. doi: 10.1007/s00132-019-03784-9.
Malignancy occurs more often in multiple enchondromas than in solitary enchondromas. In the hands the rate is about 14%. We amputated the third ray of the hand in a young man with recurrence of an enchondroma. The histology showed a low grade chondrosarcoma. The patient had no tumour recurrence or metastasis in the following 5 years. We describe the evaluation as well as the treatment and outline the literature.
多发性内生软骨瘤比单发性内生软骨瘤更易发生恶变。在手部，恶变率约为14%。我们为一名内生软骨瘤复发的年轻男性截肢了手部的第三掌骨。组织学检查显示为低级别软骨肉瘤。在接下来的5年里，该患者没有肿瘤复发或转移。我们描述了评估、治疗过程并概述了相关文献。
