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9年随访期内无复发的髋部腱鞘巨细胞瘤

Hip Tenosynovial Giant Cell Tumor without Recurrence in a 9-Year Follow-Up.

作者信息

Kazemi Seyyed-Morteza, Hosseininejad Seyyed-Mohsen

机构信息

Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Clinical Research & Development Unit, Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Case Rep Orthop. 2022 Feb 4;2022:1797218. doi: 10.1155/2022/1797218. eCollection 2022.

Abstract

BACKGROUND

Tenosynovial giant cell tumors are a benign but rare condition with potentially aggressive tumor-like traits which should be considered in young patients with monoarticular joint involvement. . This report presents a 31-year-old otherwise healthy woman with a right hip pain. Clinical and histopathological investigations revealed the diagnosis of diffuse-type tenosynovial giant cell tumor of the hip (the diffuse intra-articular form of PVNS). Open synovectomy and tumor resection and surgical dislocation of the hip were performed. She was free of symptoms and recurrence within a 9-year-follow-up period.

CONCLUSION

Open synovectomy and tumor resection through surgical dislocation of the hip without adjutant radiotherapy could be a reliable choice for the localization of the hip.

摘要

背景

腱鞘巨细胞瘤是一种良性但罕见的疾病,具有潜在侵袭性的肿瘤样特征,对于单关节受累的年轻患者应予以考虑。本报告介绍了一名31岁身体健康的女性,她患有右髋疼痛。临床和组织病理学检查确诊为髋关节弥漫型腱鞘巨细胞瘤(色素沉着绒毛结节性滑膜炎的弥漫关节内型)。实施了开放性滑膜切除术、肿瘤切除术以及髋关节手术脱位。在9年的随访期内,她无症状且未复发。

结论

通过髋关节手术脱位进行开放性滑膜切除术和肿瘤切除术,无需辅助放疗,可能是髋关节定位的可靠选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ffb/8837448/fdf6d78d2bed/CRIOR2022-1797218.001.jpg

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