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采用病灶内刮除、高速磨钻及植骨治疗肱骨远端骨骺3级骨巨细胞瘤:1例报告

Grade 3 Giant Cell Tumour of the Distal Humeral Epiphysis Treated with Intralesional Curettage, High Speed Burring and Bone Grafting: A Case Report.

作者信息

Nyffeler R W, Ziebarth K

机构信息

Department of Shoulder and Elbow Surgery, Orthopädie Sonnenhof, Bern, Switzerland.

Division of Pediatric Trauma and Orthopedics, University Hospital of Bern, Bern, Switzerland.

出版信息

Malays Orthop J. 2022 Nov;16(3):132-135. doi: 10.5704/MOJ.2211.020.

Abstract

Giant cell tumours of bone are benign but locally aggressive neoplasms involving the epi- and metaphysis of long bones. Tumours of the distal humeral epiphysis with cortical disruption and invasion into the joint and the soft tissues are rare and generally treated with wide resection and joint reconstruction. We present the case of a 19-year-old woman in whom such a tumour was successfully treated with intralesional curettage, high speed burring and autologous bone grafting. The patient underwent regular clinical and radiological follow-up. Ten years after the procedure she had no signs of tumour recurrence or degenerative changes, and she was pain free and had a normal elbow function.

摘要

骨巨细胞瘤是良性但具有局部侵袭性的肿瘤,累及长骨的骨骺和干骺端。肱骨远端骨骺肿瘤伴有皮质破坏并侵犯关节和软组织的情况罕见,通常采用广泛切除和关节重建治疗。我们报告一例19岁女性患者,该肿瘤通过病灶内刮除、高速磨钻和自体骨移植成功治疗。患者接受了定期的临床和影像学随访。术后十年,她没有肿瘤复发或退变改变的迹象,无痛且肘关节功能正常。

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