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轻微肩部损伤揭示肱骨近端骨软骨瘤的自然消退

Minor Shoulder Injury Reveals Spontaneous Regression of Proximal Humerus Osteochondroma.

作者信息

Kalifis George, Marin Fermin Theodorakys, Konstantinou Efstathios, Raoulis Vasilios, Hantes Michael

机构信息

Department of Orthopedic Surgery & Musculoskeletal Trauma, University General Hospital of Larissa, Larissa, GRC.

Department of Traumatology, Hospital Universitario Periférico de Coche, Caracas, VEN.

出版信息

Cureus. 2021 Jul 31;13(7):e16793. doi: 10.7759/cureus.16793. eCollection 2021 Jul.

DOI:10.7759/cureus.16793
PMID:34354896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8328843/
Abstract

Osteochondromas are the most common benign bone tumor; nonetheless, the natural history is poorly understood as a result of the low threshold for resection and the fact that many of these lesions are asymptomatic and therefore never diagnosed. We present a case of a 17-year-old patient whose routine shoulder X-ray evaluation, due to a minor shoulder injury, revealed spontaneous regression of a previously documented left proximal humerus osteochondroma at six years follow-up. The likelihood of spontaneous regression should be better understood by orthopedic surgeons and taken into account in the decision process of whether to remove osteochondromas surgically or wait.

摘要

骨软骨瘤是最常见的良性骨肿瘤;然而,由于其切除阈值较低,且许多此类病变无症状因而从未被诊断出来,其自然病程仍知之甚少。我们报告一例17岁患者,该患者因肩部轻微损伤进行常规肩部X线评估,结果显示在六年随访中,先前记录的左肱骨近端骨软骨瘤出现了自发消退。骨科医生应更好地了解自发消退的可能性,并在决定是否手术切除骨软骨瘤还是等待时予以考虑。

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1
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Cureus. 2021 Jul 31;13(7):e16793. doi: 10.7759/cureus.16793. eCollection 2021 Jul.
2
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本文引用的文献

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The Natural History of Benign Bone Tumors of the Extremities in Asymptomatic Children: A Longitudinal Radiographic Study.四肢无症状儿童良性骨肿瘤的自然病史:一项纵向放射学研究。
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Regression of a solitary osteochondroma of the distal humerus in a toddler following trauma.一名幼儿肱骨远端孤立性骨软骨瘤在创伤后消退。
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孤立性骨软骨瘤的自发性缩小
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4
[Osteochondroma and multiple osteochondromas: recommendations on the diagnostics and follow-up with special consideration to the occurrence of secondary chondrosarcoma].[骨软骨瘤和多发性骨软骨瘤:关于诊断及随访的建议,特别考虑继发性软骨肉瘤的发生情况]
Radiologe. 2013 Dec;53(12):1125-36. doi: 10.1007/s00117-013-2571-9.
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Radiographic evidence of regression of a solitary osteochondroma: a report of 4 cases and a literature review.孤立性骨软骨瘤消退的影像学证据:4例报告及文献综述
J Pediatr Orthop. 2011 Apr-May;31(3):312-6. doi: 10.1097/BPO.0b013e31820fc676.
6
Osteochondromas: review of the clinical, radiological and pathological features.骨软骨瘤:临床、放射学及病理学特征综述
In Vivo. 2008 Sep-Oct;22(5):633-46.
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Spontaneous regression of solitary osteochondroma: reconsidering our approach.孤立性骨软骨瘤的自发消退:重新审视我们的处理方法。
Clin Orthop Relat Res. 2007 Jul;460:253-7. doi: 10.1097/BLO.0b013e3180479789.
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Surgical risk for elective excision of benign exostoses.
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