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一名60岁以上患者软组织巨细胞瘤的罕见多次复发

Unusual Multiple Recurrences of Soft Tissue Giant Cell Tumors in a Patient Above 60 Years.

作者信息

ALjuhani Wazzan, Qeretli Raed, Alhabradi Faisal, Alotaibi Fay A

机构信息

Department of Orthopedic Surgery, Ministry of the National Guard-Health Affairs, Riyadh, SAU.

Department of Orthopedic Surgery, King Abdullah International Medical Research Center, Riyadh, SAU.

出版信息

Cureus. 2024 Apr 28;16(4):e59195. doi: 10.7759/cureus.59195. eCollection 2024 Apr.

Abstract

Primary giant cell tumors of soft tissues (GCT-ST) are rare neoplasms that share histopathological and immunohistochemical characteristics with osseous giant cell tumors. While GCT-ST generally exhibits a benign progression and can affect individuals of various ages, older patients may face a higher risk of recurrence and aggressive disease progression. In this case report, we present the case of a 63-year-old woman who experienced recurrent GCT-ST nine months after the complete excision of an initially localized tumor. Despite the mainstay treatment of GCT-ST being tumor-free margin surgical excision, this case demonstrates the occurrence of recurrences. The etiology of recurrence in GCT-ST remains unclear, highlighting the need for further studies and careful patient follow-up to prevent potential complications such as lung metastasis or widespread metastasis. Thus, this report aims to raise awareness of these tumors and emphasize the importance of diligent patient follow-up to facilitate early identification and management, thereby preventing potential complications such as lung or widespread metastasis.

摘要

软组织原发性巨细胞瘤(GCT-ST)是一种罕见的肿瘤,与骨巨细胞瘤具有相同的组织病理学和免疫组化特征。虽然GCT-ST通常呈良性进展,可累及不同年龄段的个体,但老年患者可能面临更高的复发风险和侵袭性疾病进展风险。在本病例报告中,我们介绍了一名63岁女性的病例,该患者在最初局部肿瘤完全切除9个月后出现复发性GCT-ST。尽管GCT-ST的主要治疗方法是无瘤边缘手术切除,但该病例显示了复发的发生。GCT-ST复发的病因尚不清楚,这凸显了进一步研究和对患者进行仔细随访以预防潜在并发症(如肺转移或广泛转移)的必要性。因此,本报告旨在提高对这些肿瘤的认识,并强调对患者进行勤勉随访以促进早期识别和管理的重要性,从而预防潜在并发症,如肺转移或广泛转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1574/11131142/6dc7f5900473/cureus-0016-00000059195-i01.jpg

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