Orthopaedics, Cork University, Cork, Ireland
Orthopaedics, Cork University, Cork, Ireland.
BMJ Case Rep. 2021 Feb 4;14(2):e237086. doi: 10.1136/bcr-2020-237086.
A 65-year-old female patient has a history of malignant triton tumour of the right upper lobe of the lung. She underwent right upper lobectomy and lymphadenectomy in May 2018. She presented in November 2019 with pathological fracture of the left proximal femur. It was not associated with neurofibromatosis. We decided to do an excisional biopsy of the mass and proximal femoral replacement followed by radiotherapy. Four months later, she presented with local recurrence. We organised a multidisciplinary team between the orthopaedic, histopathology and oncology teams. Then, we decided to treat her with chemotherapy. After 2 months of follow-up, she responded well to the chemotherapy with no further deterioration of her condition.
一位 65 岁女性患者，有右肺上叶恶性蝾螈瘤病史。她于 2018 年 5 月接受了右上肺叶切除术和淋巴结清扫术。2019 年 11 月，她出现左侧股骨近端病理性骨折，但与神经纤维瘤病无关。我们决定对肿块和股骨近端进行切除活检和置换，然后进行放疗。4 个月后，她出现局部复发。我们在骨科、组织病理学和肿瘤学团队之间组织了一个多学科团队。然后，我们决定对她进行化疗。在随访 2 个月后，她对化疗反应良好，病情没有进一步恶化。
