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甲状腺癌骨转移罕见病例的大型假体:病例管理与手术方法

Megaprosthesis for a Rare Case of Bone Metastasis of Thyroid Carcinoma: Case Management and Surgical Approach.

作者信息

Petre Mihnea-Alexandru, Antoniadou Chrysoula, Gherghe Mihai Emanuel, Scheau Cristian, Dragosloveanu Serban

机构信息

Department of Orthopaedics, "Foisor" Clinical Hospital of Orthopaedics, Traumatology, and Osteoarticular TB, Bucharest, ROU.

Department of Pathology, "Foisor" Clinical Hospital of Orthopaedics, Traumatology, and Osteoarticular TB, Bucharest, ROU.

出版信息

Cureus. 2024 Feb 6;16(2):e53717. doi: 10.7759/cureus.53717. eCollection 2024 Feb.

Abstract

We present the case of a 56-year-old male patient diagnosed with Hürthle cell carcinoma (HCC) that developed widespread metastasis in bone, lung, and lymph nodes with a larger tumor located in the right tibia. The patient was only disturbed by the pain, discomfort, and disability linked to the tibial metastasis. After careful consideration, the best course of action was considered to be the surgical excision of the proximal right tibia with arthroplasty using the C LINK Megaprosthesis tumor revision system. Histological and immunohistochemical analyses were conducted on the tibial resection specimen. In addition, a comprehensive review of prior histological specimens from the primary thyroid tumor, lymph nodes, and lung was undertaken to evaluate the prognosis and provide guidance for the postoperative management of the patient.

摘要

我们报告了一例56岁男性患者,诊断为许特莱细胞癌(HCC),该癌症已发生骨、肺和淋巴结的广泛转移,右胫骨有一个较大的肿瘤。患者仅受与胫骨转移相关的疼痛、不适和残疾困扰。经过仔细考虑,最佳行动方案被认为是使用C LINK Megaprosthesis肿瘤翻修系统对右胫骨近端进行手术切除并置换关节成形术。对胫骨切除标本进行了组织学和免疫组织化学分析。此外,对原发性甲状腺肿瘤、淋巴结和肺的先前组织学标本进行了全面回顾,以评估预后并为患者的术后管理提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c133/10919316/2960e7b477bb/cureus-0016-00000053717-i01.jpg

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