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一名年轻女孩的脊柱软骨肉瘤:放射学诊断与治疗前景

Spinal chondrosarcoma in a young girl: radiological diagnosis and treatment perspectives.

作者信息

Herath Dinithi A, Ganewatte Eranga, Gunaratne Sandini, Marasinghe Nirmal C, Fernando Jerrard

机构信息

Department of Radiology, Lady Ridgeway Hospital for Children, Colombo, Western Province, Sri Lanka.

Faculty of Medicine, University of Moratuwa, Colombo, Western Province, Sri Lanka.

出版信息

Pediatr Radiol. 2024 Dec;54(13):2254-2258. doi: 10.1007/s00247-024-06089-y. Epub 2024 Nov 6.

Abstract

Spinal chondrosarcomas are uncommon malignant bone tumors that are rare in children. The location and imaging features of the lesion help in formulating a differential diagnosis, though in certain instances the lack of typical imaging findings may elude the differential of a chondrosarcoma. There are only a few reported cases in literature and owing to its rarity and lack of specific management protocols in this age group, making treatment decisions can be complex. We report a case of spinal chondrosarcoma in a young girl, where the treatment of choice was primary surgical resection. Transarterial embolization was performed to reduce tumor vascularity and aid the surgery.

摘要

脊柱软骨肉瘤是一种罕见的恶性骨肿瘤,在儿童中极为少见。病变的位置和影像学特征有助于进行鉴别诊断,不过在某些情况下,缺乏典型的影像学表现可能会使软骨肉瘤的鉴别变得困难。文献中仅有少数病例报道,由于其罕见性以及该年龄组缺乏特定的治疗方案,做出治疗决策可能会很复杂。我们报告一例年轻女孩的脊柱软骨肉瘤病例,其首选治疗方法是一期手术切除。进行了经动脉栓塞以减少肿瘤血管供应并辅助手术。

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