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一名7岁儿童隐匿性原发性背部骨尤文肉瘤伴急性截瘫:病例报告

A primary dorsal osseous Ewing's sarcoma hidden as acute paraplegia in a 7-year child: A Case report.

作者信息

Yahya Farah Sameer, Al-Shami Hieder A

机构信息

Lecturer in Pediatrics, Department of pediatrics , college of medicine, University of Mosul, Mosul, Iraq.

Neurosurgeon, Department of Neurosurgery , Al-Ahly Bank Hospital, Cairo, Egypt.

出版信息

Iran J Child Neurol. 2022 Summer;16(3):219-222. doi: 10.22037/ijcn.v16i2.32783. Epub 2022 Jul 16.

DOI:10.22037/ijcn.v16i2.32783
PMID:36204435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9531207/
Abstract

Ewing's sarcoma is a highly malignant bone tumor commonly affecting the diaphysis of long bones and pelvic bones. It belongs to a spectrum of neoplastic diseases known as the Ewing sarcoma family of tumors (EFT) with the same histologic, immunohistochemical characteristics and chromosomal translocation. It commonly affects children between the ages of 5-15 years. Spinal involvement might be primary or metastatic. Primary spinal involvement is infrequent. We report a 7-year female with acute paraplegia caused by dorsal osseous Ewing's sarcoma that her presentation mimics other causes of acute lower limb weakness in children. Early detection of this rare case and prompt treatment will ensure better outcomes for the patient.

摘要

尤因肉瘤是一种高度恶性的骨肿瘤,通常累及长骨干和骨盆骨。它属于一组被称为尤因肉瘤家族肿瘤(EFT)的肿瘤性疾病,具有相同的组织学、免疫组化特征和染色体易位。它常见于5至15岁的儿童。脊柱受累可能是原发性的或转移性的。原发性脊柱受累并不常见。我们报告一例7岁女性,因背部骨尤因肉瘤导致急性截瘫,其表现类似于儿童急性下肢无力的其他病因。早期发现这一罕见病例并及时治疗将确保患者获得更好的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b8/9531207/21161f128452/ijcn-16-219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b8/9531207/21161f128452/ijcn-16-219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b8/9531207/21161f128452/ijcn-16-219-g001.jpg

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本文引用的文献

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Primary osseous tumors of the pediatric spinal column: review of pathology and surgical decision making.小儿脊柱原发性骨肿瘤:病理学回顾与手术决策
Neurosurg Focus. 2016 Aug;41(2):E3. doi: 10.3171/2016.5.FOCUS16155.