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肩峰内生软骨瘤的扩大刮除术及腓骨移植术

Extended Curettage and Fibular Grafting in Enchondroma of the Acromion.

作者信息

Bansal Kuldeep, Shahi Pratyush, Jain Anil K, Dhammi Ish K, Kumar Saurabh

机构信息

Orthopaedics, University College of Medicine Science and Guru Teg Bahadur Hospital, Delhi, IND.

出版信息

Cureus. 2020 Apr 11;12(4):e7630. doi: 10.7759/cureus.7630.

DOI:10.7759/cureus.7630
PMID:32399362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7213675/
Abstract

We report the case of a six-year-old male child with progressive pain and swelling of the right shoulder for six months. On examination, there was a 7x7 cm globular, tender swelling with firm consistency over the posterolateral corner of the right shoulder. Radiographs showed an expansile lytic lesion in the acromion process of the scapula. Biopsy showed lobules of hypocellular cartilage separated by fibroconnective stroma suggestive of an enchondroma. Extended curettage and fibular bone grafting of the lesion was done. At one-year follow-up, the patient was symptom-free and had full, painless shoulder range of motion. To the best of our knowledge, there is no published record of an enchondroma of the acromion.

摘要

我们报告一例6岁男性儿童,其右肩部进行性疼痛和肿胀6个月。检查发现,右肩后外侧角有一个7×7厘米的球形、压痛性肿胀,质地坚硬。X线片显示肩胛骨肩峰突有一个膨胀性溶骨性病变。活检显示由纤维结缔组织基质分隔的低细胞软骨小叶,提示内生软骨瘤。对该病变进行了扩大刮除术和腓骨植骨术。随访1年时,患者无症状,肩部活动范围完全正常且无痛。据我们所知,尚无肩峰内生软骨瘤的公开报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc83/7213675/ffe6cc4f8c9f/cureus-0012-00000007630-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc83/7213675/7a314c96c567/cureus-0012-00000007630-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc83/7213675/d763eea25447/cureus-0012-00000007630-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc83/7213675/ffe6cc4f8c9f/cureus-0012-00000007630-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc83/7213675/7a314c96c567/cureus-0012-00000007630-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc83/7213675/d763eea25447/cureus-0012-00000007630-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc83/7213675/ffe6cc4f8c9f/cureus-0012-00000007630-i03.jpg

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本文引用的文献

1
Tailored treatment of aneurysmal bone cyst of the scapula: en bloc resection for the body and extended curettage for the neck and acromion.肩胛骨动脉瘤样骨囊肿的个体化治疗:体部整块切除,颈肩部和肩峰部扩大刮除。
J Shoulder Elbow Surg. 2020 May;29(5):961-967. doi: 10.1016/j.jse.2019.09.015. Epub 2019 Nov 20.
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Juxta-Cortical Chondroma of the Phalanges: Is there a Role for Cone-Beam Computed Tomography in Diagnosis and Local Staging?: Main teaching point: Low-dose cone-beam computed tomography (CT) may be of additional value to radiographs and magnetic resonance imaging (MRI) in preoperative characterization and local staging of juxta-cortical chondroma.指骨近皮质软骨瘤:锥形束计算机断层扫描在诊断和局部分期中能发挥作用吗?主要教学要点:在指骨近皮质软骨瘤的术前特征描述和局部分期方面,低剂量锥形束计算机断层扫描(CT)可能对X线平片和磁共振成像(MRI)具有额外价值。
J Belg Soc Radiol. 2019 Apr 4;103(1):22. doi: 10.5334/jbsr.1657.
3
Enchondromas and atypical cartilaginous tumors at the proximal humerus treated with intralesional resection and bone cement filling with or without osteosynthesis: retrospective analysis of 42 cases with 6 years mean follow-up.肱骨近端内生软骨瘤和非典型性软骨肿瘤采用病灶内切除和骨水泥填充联合或不联合内固定治疗:6 年平均随访的 42 例回顾性分析。
World J Surg Oncol. 2018 Jul 13;16(1):139. doi: 10.1186/s12957-018-1437-z.
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A rare case of chondroblastoma of the acromion.一例罕见的肩峰软骨母细胞瘤。
Acta Orthop Traumatol Turc. 2016 Dec;50(6):691-693. doi: 10.1016/j.aott.2014.11.002. Epub 2016 Dec 10.
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Current management of aneurysmal bone cysts.动脉瘤样骨囊肿的当前治疗方法。
Curr Rev Musculoskelet Med. 2016 Dec;9(4):435-444. doi: 10.1007/s12178-016-9371-6.
6
A Rare Occurrence of Enchondroma in Neck of Femur in an Adult Female: A Case Report.一名成年女性股骨颈内生软骨瘤的罕见病例:病例报告
J Clin Diagn Res. 2015 Dec;9(12):RD01-3. doi: 10.7860/JCDR/2015/16555.6938. Epub 2015 Dec 1.
7
Finger enchondroma treated with bone substituents - a case presentation.采用骨替代物治疗指骨内生软骨瘤——病例报告
J Med Life. 2014 Jun 15;7(2):223-5. Epub 2014 Jun 25.
8
Chondrosarcoma arising in an enchondroma of the metacarpal bone - a case report.起源于掌骨内生软骨瘤的软骨肉瘤——病例报告
J Clin Diagn Res. 2014 Mar;8(3):142-3. doi: 10.7860/JCDR/2014/8142.4139. Epub 2014 Mar 15.
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Ollier disease.骨软骨瘤病
Orphanet J Rare Dis. 2006 Sep 22;1:37. doi: 10.1186/1750-1172-1-37.