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髌骨巨细胞瘤:一例报告

Giant Cell Tumor of the Patella: A Case Report.

作者信息

Jadhav Shivshankar, Rathod Yogita S, Rathod Surekha R

机构信息

Department of Orthopedic Surgery, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Department of Pathology, D. Y. Patil Medical College, Kolhapur, IND.

出版信息

Cureus. 2024 Sep 3;16(9):e68590. doi: 10.7759/cureus.68590. eCollection 2024 Sep.

Abstract

Giant cell tumors (GCT) are uncommon as primary tumors localized within the patella. This is a case report of a 25-year-old male who developed a GCT in his patella. The patient had intermittent right anterior knee discomfort for a year before presentation. The radiological features pointed to a benign illness. The GCT of the bone was the intraoperative pathological diagnosis. Radiation curettage and adjuvant therapy consisting of phenol and ethanol injections and calcium phosphate cement were used to treat the lesion. Histologically, the tumor comprised several large osteoclastic cells mixed in with spherical- or spindle-shaped mononuclear cells. Sixteen months following surgery, the patient had no symptoms and no signs of distant metastasis or local recurrence. In particular, in young individuals, patellar GCTs may be included in the differential diagnosis of anterior knee discomfort and/or edema despite their rarity.

摘要

骨巨细胞瘤(GCT)作为原发于髌骨的肿瘤并不常见。本文报告一例25岁男性髌骨骨巨细胞瘤病例。患者在就诊前一年间歇性出现右膝前部不适。影像学特征提示为良性疾病。术中病理诊断为骨巨细胞瘤。采用放射刮除术及苯酚和乙醇注射加磷酸钙骨水泥的辅助治疗方法处理该病变。组织学上,肿瘤由多个大的破骨细胞样细胞与球形或梭形单核细胞混合组成。术后16个月,患者无症状,无远处转移或局部复发迹象。特别是,尽管髌骨骨巨细胞瘤在年轻个体中罕见,但在鉴别诊断膝前部不适和/或肿胀时仍应考虑到。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c53/11452316/5f88292cbb57/cureus-0016-00000068590-i01.jpg

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