Khan Danish Jameel, Chand Suresh
Department of Trauma and Orthopedics, Queen Elizabeth Hospital, Birmingham, United Kingdom.
Department of Paediatric Orthopaedics, King George's Medical University, Lucknow, Uttar Pradesh, India.
J Orthop Case Rep. 2024 Aug;14(8):95-98. doi: 10.13107/jocr.2024.v14.i08.4660.
Osteochondromas are benign bone tumors common in metaphyseal ends of long bones like distal femur and are relatively uncommon in flat bones such as scapula. Patients usually present with either a visual deformity requiring treatment for cosmetic reason or present with mechanical symptoms hindering activities of daily living. The tumor is mostly benign and malignant transformation is rarely seen. Treatment usually involves surgical excision of the lesion with minimal chances of recurrence if complete excision of the lesion is done.
Here, we present the case of a 12-year-old boy presenting with a symptomatic dorsal scapular osteochondroma who underwent successful surgical excision without any recurrence.
Osteochondroma can be seen on flat bones and should be kept in the differential. Treatment is by excision and usually has good long-term outcomes.
骨软骨瘤是常见于长骨干骺端(如股骨远端)的良性骨肿瘤,在肩胛骨等扁骨中相对少见。患者通常因外观畸形出于美容原因需要治疗,或因机械性症状妨碍日常生活而就诊。该肿瘤大多为良性,很少发生恶变。如果能完整切除病变,治疗通常包括手术切除病变,复发几率极小。
在此,我们报告一例12岁有症状的肩胛背侧骨软骨瘤男孩病例,该患者接受了成功的手术切除,且未复发。
骨软骨瘤可见于扁骨,应列入鉴别诊断。治疗方法为切除,通常有良好的长期预后。