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腕部孤立性放射性不透光病变(肿瘤性钙化症)导致急性腕管综合征后自发消失:1 例报告。

Solitary Radio-Opaque Lesion of Wrist (Tumoral Calcinosis) Disappears Spontaneously After Causing Acute Carpal Tunnel Syndrome: A Case Report.

机构信息

Department of Orthopaedic Surgery and Musculoskeletal Trauma, University Hospital of Larissa, Larissa, Greece.

Department of Orthopaedic, General Hospital of Drama, Drama, Greece.

出版信息

JBJS Case Connect. 2023 Feb 16;13(1). doi: e22.00638. eCollection 2023 Jan 1.

DOI:10.2106/JBJS.CC.22.00638
PMID:36795865
Abstract

CASE

We describe the case of a 53-year-old male patient with a history of acute carpal tunnel syndrome (CTS) provoked by a radio-opaque mass on the palmar side of the wrist. Although the mass disappeared in new radiographs 6 weeks later without any intervention apart from the carpal tunnel release, excisional biopsy was conducted on the residue, revealing tumoral calcinosis.

CONCLUSION

Both acute CTS and spontaneous resolution are clinical manifestations of this rare condition on suspicion of which biopsy can be avoided by following a "wait and see" strategy.

摘要

病例

我们描述了一例 53 岁男性患者的病例,该患者既往有急性腕管综合征(CTS)病史,由腕掌侧的不透射线肿块诱发。尽管该肿块在 6 周后的新 X 光片上消失,且除腕管松解术外无任何干预措施,但对残留组织进行了切除活检,结果显示为肿瘤性钙化。

结论

急性 CTS 和自发性缓解均为该罕见疾病的临床表现,在怀疑该病的情况下,可以采取“静观其变”的策略,避免进行活检。

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