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遗传性多发性骨软骨瘤伴巨大骨软骨瘤恶变为软骨肉瘤。

Hereditary multiple exostoses with a giant osteochondroma degenerated into chondrosarcoma.

作者信息

Masino Federica, Montatore Manuela, Carpentiere Rossella, Balbino Marina, Gifuni Rossella, Fascia Giacomo, Guglielmi Giuseppe

机构信息

Department of Clinical and Experimental Medicine, Foggia University School of Medicine, Viale L. Pinto 1, 71121, Foggia , Italy.

Radiology Unit, "Dimiccoli" Hospital, Viale Ippocrate 15, 70051, Barletta, Italy.

出版信息

Radiol Case Rep. 2024 May 3;19(8):2943-2949. doi: 10.1016/j.radcr.2024.04.012. eCollection 2024 Aug.

DOI:10.1016/j.radcr.2024.04.012
PMID:38737181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11087689/
Abstract

We present a case of hereditary multiple exostoses with malignant transformation to chondrosarcoma in a woman complaining of enlargement and pain in the right thigh. Hereditary multiple exostoses is a rare genetic disorder characterized by multiple osteochondromas. Malignant transformation to chondrosarcoma of a pre-existing osteochondroma is a possible significant manifestation of this hereditary syndrome. Imaging modalities such as X-ray, Ultrasound, and computed tomography play a crucial role in the diagnosis and management of these patients, as described in this case.

摘要

我们报告一例遗传性多发性骨软骨瘤恶变成为软骨肉瘤的病例,患者为一名女性,主诉右大腿肿大及疼痛。遗传性多发性骨软骨瘤是一种罕见的遗传性疾病,其特征为多发性骨软骨瘤。既往存在的骨软骨瘤恶变为软骨肉瘤是这种遗传性综合征可能出现的重要表现。如本病例所述,X线、超声和计算机断层扫描等影像学检查手段在这些患者的诊断和治疗中起着关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/60a0a4231218/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/7a137cc65b52/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/3489bbb0916e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/160b1902f386/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/32d116c8a36c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/cb18f3254528/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/042777332d2d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/e0781fc9ccb0/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/60a0a4231218/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/7a137cc65b52/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/3489bbb0916e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/160b1902f386/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/32d116c8a36c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/cb18f3254528/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/042777332d2d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/e0781fc9ccb0/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4775/11087689/60a0a4231218/gr8.jpg

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本文引用的文献

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Cancers (Basel). 2023 Mar 10;15(6):1703. doi: 10.3390/cancers15061703.
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Hereditary multiple exostoses: A case report and literature review.遗传性多发性骨软骨瘤:病例报告及文献综述。
SAGE Open Med Case Rep. 2022 Jun 7;10:2050313X221103732. doi: 10.1177/2050313X221103732. eCollection 2022.
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The 2020 WHO Classification: What's New in Soft Tissue Tumor Pathology?2020 年世卫组织分类:软组织肿瘤病理学的新变化?
Am J Surg Pathol. 2021 Jan;45(1):e1-e23. doi: 10.1097/PAS.0000000000001552.
4
Hereditary Multiple Exostoses: Current Insights.遗传性多发性骨软骨瘤:当前见解
Orthop Res Rev. 2019 Dec 13;11:199-211. doi: 10.2147/ORR.S183979. eCollection 2019.
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Chondrosarcoma transformation in hereditary multiple exostoses: A systematic review and clinical and cost-effectiveness of a proposed screening model.遗传性多发性骨软骨瘤中的软骨肉瘤转变:一项系统评价及一种拟议筛查模型的临床与成本效益分析
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Osteoblastic Osteosarcoma Arising beneath an Osteochondroma in an 11-Year-Old Male with Multiple Hereditary Exostoses.一名患有多发性遗传性骨软骨瘤的11岁男性,其骨软骨瘤下方发生成骨性骨肉瘤。
Case Rep Orthop. 2018 Jul 12;2018:8280415. doi: 10.1155/2018/8280415. eCollection 2018.
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Multimodality imaging features of hereditary multiple exostoses.遗传性多发性外生骨疣的多模态影像学特征。
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