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戈勒姆-斯托特综合征,诊断中的挑战和治疗中的独特性:一例报告。

Gorham-Stout syndrome, the challenge in diagnosis and unique in treatment: a case report.

机构信息

Department of Orthopedic Surgery, Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Keshavarz Boulevard, Tehran, 1419733141, Iran.

Department of Pathology, Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Med Case Rep. 2023 Aug 22;17(1):360. doi: 10.1186/s13256-023-04094-7.

Abstract

BACKGROUND

Gorham-Stout disease is a rare condition with fewer than 400 reported cases in the literature. The presentation of Gorham-Stout disease varies on the basis of location, extent, fracture, and accompanying symptoms. It lacks a specific histopathological appearance but is characterized by vascular changes and the absence of cellular atypia.

CASE PRESENTATION

This article presents a case study of a 16-year-old Persian boy with an entire femur with Gorham-Stout disease, highlighting the difficulties in managing this condition. The lack of a clear diagnosis resulted in prolonged procedures, delayed medical treatments, and ultimately required total femoral replacement with an endoprosthesis.

CONCLUSION

It is important to note that raising awareness of this disease and its potential complications can facilitate timely and appropriate treatment for patients presenting in the early stages of the disease.

摘要

背景

Gorham-Stout 病是一种罕见的疾病,文献中报道的病例少于 400 例。Gorham-Stout 病的表现因位置、范围、骨折和伴随症状而异。它缺乏特定的组织病理学表现,但以血管变化和无细胞异型性为特征。

病例介绍

本文介绍了一例 16 岁的波斯男孩患有整个股骨的 Gorham-Stout 病的病例研究,强调了管理这种疾病的困难。由于缺乏明确的诊断,导致手术过程延长,治疗延迟,最终需要使用假体进行全股骨置换。

结论

值得注意的是,提高对这种疾病及其潜在并发症的认识,可以为早期出现这种疾病的患者提供及时和适当的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f75a/10463799/7ffa1bac4791/13256_2023_4094_Fig1_HTML.jpg

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