Serra J M, Muirragui A, Tadjalli H
Plast Reconstr Surg. 1985 Feb;75(2):263-7. doi: 10.1097/00006534-198502000-00021.
A case of distant metastases of a giant cell tumor of the radius is presented. The tumor within the radius was excised, followed by arthrodesis of the wrist and bone grafting with tibia. At the time she came to us, the patient presented distal dissemination, so we performed curettage of each one of the multiple metastases of soft tissues of the hand. After 9 months, a local recurrence in the radius was resected, and reconstruction was done with a vascularized graft of fibula. Later treatment consisted of intraarterial chemotherapy. The patient is in satisfactory condition 1 year after surgery.
本文报告一例桡骨巨细胞瘤远处转移的病例。切除桡骨内的肿瘤后,进行了腕关节融合术及胫骨植骨。该患者前来就诊时已出现远处转移,因此我们对其手部软组织的多个转移灶均进行了刮除术。9个月后,切除了桡骨的局部复发病灶,并采用带血管蒂腓骨移植进行重建。后续治疗包括动脉内化疗。术后1年,患者情况良好。