辅助放疗治疗复发性膝关节弥漫性腱鞘巨细胞瘤：一例报告
Recurrent diffuse tenosynovial giant cell tumor of the knee treated with adjuvant radiotherapy: A case report.
作者信息
Lubis Andri M T, Sahala Mohamad Almer
机构信息
Department of Orthopaedics and Traumatology, Dr. Cipto Mangunkusumo General Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Department of Orthopaedics and Traumatology, Dr. Cipto Mangunkusumo General Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
出版信息
Int J Surg Case Rep. 2023 Sep;110:108604. doi: 10.1016/j.ijscr.2023.108604. Epub 2023 Aug 2.
INTRODUCTION
TGCT (tenosynovial giant cell tumor) is a mono-articular proliferative condition that begins in the synovial membranes. Diffuse TGCT (DTGCT) has more prominent symptoms with high risks of recurrency.
CASE PRESENTATION
In this case, we presented a 32-year-old male with recurrent case of DTGCT. The patient has been treated with arthroscopic synovectomy with the recurrence of disease. The patient was finally treated by open synovectomy combined with arthroscopy followed by adjuvant radiotherapy.
DISCUSSION
The aim of this case is to report the success of open synovectomy combined with arthroscopy followed by 31 cycle of adjuvant radiotherapy in the recurrent case of DTGCT.
CONCLUSION
Open synovectomy combined with arthroscopic synovectomy followed by adjuvant RT is a promising treatment modality in patient with DTGCT.
引言
腱鞘巨细胞瘤（TGCT）是一种始于滑膜的单关节增殖性疾病。弥漫性腱鞘巨细胞瘤（DTGCT）症状更为突出，复发风险高。
病例介绍
在此病例中，我们呈现了一名32岁复发性DTGCT男性患者。该患者曾接受关节镜下滑膜切除术，但疾病复发。患者最终接受了开放性滑膜切除术联合关节镜检查，随后进行辅助放疗。
讨论
本病例的目的是报告在复发性DTGCT病例中，开放性滑膜切除术联合关节镜检查并进行31个周期辅助放疗的成功经验。
结论
开放性滑膜切除术联合关节镜下滑膜切除术，随后进行辅助放疗，是DTGCT患者一种有前景的治疗方式。
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