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手部指骨巨细胞瘤继发巨大动脉瘤样骨囊肿 1 例报告及文献复习

Huge aneurysmal bone cyst secondary to giant cell tumor of the hand phalanx: a case report and related literature.

机构信息

Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

BMC Cancer. 2020 Mar 19;20(1):233. doi: 10.1186/s12885-020-06746-z.

Abstract

BACKGROUND

Aneurysmal bone cyst (ABC) secondary to Giant Cell Tumor of bone (GCT) is a rare lesion, of which the incidence is about 0.011 to 0.053 per 100,000 every year. There are only a few previous case reports, and most of them occur in the spine, long bones or flat bones.

CASE PRESENTATION

We report one case of a patient who complained of "progressive enlargement of the mass on right-hand fifth finger for 5 years with ulceration for 6 months". After the imaging examination in our hospital, it was diagnosed as a "huge bone tumor on the proximal phalanx of the right-hand fifth finger", then wide excision and amputation of the fifth finger were made. The pathological examination diagnosed the mass as aneurysmal bone cyst secondary to giant cell tumor, 13 × 8 × 6 cm, with no local infiltration observed. No recurrence and metastasis occurred 18 months after the operation, and the patient recovered well.

CONCLUSION

In this report, we discuss the etiology, diagnosis, differentiation, and management of Aneurysmal bone Cyst secondary to Giant Cell Tumor of bone, and review previous case studies.

摘要

背景

继发于骨巨细胞瘤的骨动脉瘤样骨囊肿(ABC)是一种罕见病变,其发病率约为每年每 10 万人中有 0.011 至 0.053 例。之前仅有少数病例报告,且大多数发生在脊柱、长骨或扁骨。

病例介绍

我们报告了 1 例患者,其因“右手第五指肿块进行性增大 5 年伴破溃 6 个月”就诊。我院影像学检查后诊断为“右手第五指近节指骨巨大骨肿瘤”,行第五指广泛切除并截肢术。术后病理诊断为继发于骨巨细胞瘤的骨动脉瘤样骨囊肿,肿块大小为 13×8×6cm,未见局部浸润。术后 18 个月无复发和转移,患者恢复良好。

结论

在本报告中,我们讨论了继发于骨巨细胞瘤的骨动脉瘤样骨囊肿的病因、诊断、鉴别诊断和治疗,并回顾了以往的病例研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e5/7083031/08227a9af4e1/12885_2020_6746_Fig1_HTML.jpg

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