Kalifis George, Marin Fermin Theodorakys, Konstantinou Efstathios, Raoulis Vasilios, Hantes Michael
Department of Orthopedic Surgery & Musculoskeletal Trauma, University General Hospital of Larissa, Larissa, GRC.
Department of Traumatology, Hospital Universitario Periférico de Coche, Caracas, VEN.
Cureus. 2021 Jul 31;13(7):e16793. doi: 10.7759/cureus.16793. eCollection 2021 Jul.
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.
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。