Spjut H J
Pediatr Pathol. 1987;7(1):79-84. doi: 10.1080/15513818709177118.
This patient had Ewing's sarcoma of the femur, which was originally misinterpreted by radiograph and by biopsy as osteomyelitis. For approximately 1 year the patient was treated for osteomyelitis. The lesion was slowly progressive and near the end of the first year became more active, and pulmonary metastases appeared. The natural behavior of this one case of Ewing's sarcoma demonstrates that it is not necessarily an overwhelmingly aggressive tumor. In addition, the point is made that pathologists should pay careful attention to necrotic material so that the suggestion of necrotic tumor can be made rather than dismissing the biopsy as nondiagnostic.
该患者患有股骨尤因肉瘤,最初经X线片和活检被误诊为骨髓炎。患者接受了约1年的骨髓炎治疗。病变呈缓慢进展,在第一年快结束时变得更加活跃,并出现了肺转移。这一例尤因肉瘤的自然病程表明,它不一定是一种极具侵袭性的肿瘤。此外,还指出病理学家应仔细关注坏死物质,以便能够提出坏死肿瘤的诊断,而不是将活检结果判定为无法诊断而不予理会。