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自体血管化近端腓骨移植治疗桡骨远端骨巨细胞瘤——病例报告

Autologous vascular proximal fibular graft in the treatment of giant cell tumor of the distal radius-a case report.

作者信息

Todorova Teodora, Gramatnikovski Nikola, Angelovska Tamara, Kostadinova-Kunovska Slavica, Manevska Nevena, Foteva Marta, Samardziski Milan

机构信息

Department of Orthopedic Oncology, University Clinic for Orthopedic Surgery, 1000 Skopje, Republic of North Macedonia.

University Clinic for Thoracic and Vascular Surgery, 1000 Skopje, Republic of North Macedonia.

出版信息

J Surg Case Rep. 2024 Aug 8;2024(8):rjae490. doi: 10.1093/jscr/rjae490. eCollection 2024 Aug.

DOI:10.1093/jscr/rjae490
PMID:39119538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11308935/
Abstract

Giant cell tumor of bone (GCTB) represents an intermediate, locally aggressive tumor, with a peak of incidence in the third decade of life with female predominance (2:1). The distal radius is the third most common localization and especially challenging in the treatment is saving the wrist joint function. In this report, we present a case of a 32-year-old patient diagnosed with a giant cell tumor of the distal radius, primarily treated with curettage of the bone. Due to aggressive tumor recurrence, considering local control of the tumor, we decided to perform a resection of the distal radius and reconstruction with an autologous proximal vascular fibular graft. We performed a SPECT/CT scan to confirm the functionality of the graft. We find this procedure a safe technique for local control of tumor recurrence and an ideal substitute for a limb salvage procedure.

摘要

骨巨细胞瘤（GCTB）是一种中间型、局部侵袭性肿瘤，发病高峰在30岁左右，女性居多（男女比例为2:1）。桡骨远端是第三常见的发病部位，在治疗中尤其具有挑战性的是保留腕关节功能。在本报告中，我们介绍了一例32岁诊断为桡骨远端骨巨细胞瘤的患者，最初采用骨刮除术治疗。由于肿瘤复发侵袭性强，考虑到对肿瘤的局部控制，我们决定切除桡骨远端并用自体带血管腓骨近端移植进行重建。我们进行了SPECT/CT扫描以确认移植骨的功能。我们发现该手术是局部控制肿瘤复发的安全技术，也是保肢手术的理想替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4cf/11308935/f7eba74c3892/rjae490f9.jpg
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本文引用的文献

1
Giant Cell Tumor of the Distal Radius: A Review.桡骨远端骨巨细胞瘤：综述
Orthop Clin North Am. 2023 Jan;54(1):75-88. doi: 10.1016/j.ocl.2022.08.002. Epub 2022 Oct 23.
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Predicting Vascularized Bone Graft Viability Using 1-Week Postoperative Bone SPECT/CT After Maxillofacial Reconstructive Surgery.使用颌面重建手术后1周的骨SPECT/CT预测带血管蒂骨移植的活力
Nucl Med Mol Imaging. 2020 Dec;54(6):292-298. doi: 10.1007/s13139-020-00670-7. Epub 2020 Oct 19.
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Distal radius reconstruction with vascularized proximal fibular autograft after en-bloc resection of recurrent giant cell tumor.
复发性骨巨细胞瘤整块切除术后采用带血管蒂腓骨近端自体骨移植重建桡骨远端
BMC Musculoskelet Disord. 2016 Aug 17;17(1):346. doi: 10.1186/s12891-016-1211-8.
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