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保肢部分肩胛骨切除术治疗肩胛体软骨肉瘤罕见病例:突出手术技术的病例报告

Rare Case of Scapular Body Chondrosarcoma Treated With Limb-Salvage Partial Scapulectomy: A Case Report Highlighting Surgical Technique.

作者信息

Alfadil Sara, Alarnous Falwa M, Alsuwayeh Fahad, Alshaya Osama, AlAbbasi Khaled K

机构信息

Executive Medical Administration, King Fahad Medical City, Riyadh, SAU.

Medicine and Surgery, Alfaisal University College of Medicine, Riyadh, SAU.

出版信息

Cureus. 2024 Oct 15;16(10):e71519. doi: 10.7759/cureus.71519. eCollection 2024 Oct.

DOI:10.7759/cureus.71519
PMID:39553041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11563767/
Abstract

Chondrosarcomas are the second most malignant mesenchymal tumors that originate from neoplastic cells producing cartilage. It usually affects different sites in the body, such as the pelvis, humerus, and ribs, and rarely involves the scapula. The main modality of treatment of chondrosarcoma is surgery, while chemotherapy has been shown to be an ineffective treatment, and radiotherapy is only used in high-grade tumors. The present study reports a rare case of chondrosarcoma in a 34-year-old male patient who presented with a one-year history of a mass in the right scapula. The patient was managed by a multidisciplinary team, where surgery was the treatment of choice since the tumor was resistant to chemotherapy and radiotherapy. The postoperative pathological diagnosis was pleomorphic chondrosarcoma. The patient postoperatively received routine follow-up. Having chondrosarcoma in the scapula is rare since few studies are found in the literature. Many surgical approaches for chondrosarcoma were mentioned, but wide surgical excision has the best clinical outcome when compared with others.

摘要

软骨肉瘤是第二常见的恶性间充质肿瘤,起源于产生软骨的肿瘤细胞。它通常影响身体的不同部位,如骨盆、肱骨和肋骨,很少累及肩胛骨。软骨肉瘤的主要治疗方式是手术,而化疗已被证明是无效的治疗方法,放疗仅用于高级别肿瘤。本研究报告了一例罕见的软骨肉瘤病例,患者为一名34岁男性,有右侧肩胛骨肿块一年病史。该患者由多学科团队管理,由于肿瘤对化疗和放疗耐药,手术是首选治疗方法。术后病理诊断为多形性软骨肉瘤。患者术后接受了常规随访。肩胛骨发生软骨肉瘤很罕见,因为文献中很少有相关研究。文献中提到了许多治疗软骨肉瘤的手术方法,但与其他方法相比,广泛手术切除具有最佳的临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/2d1e8144e458/cureus-0016-00000071519-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/b62c6590d49e/cureus-0016-00000071519-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/fe74697b6d9f/cureus-0016-00000071519-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/119fcce8c26b/cureus-0016-00000071519-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/8a1f7ecebccb/cureus-0016-00000071519-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/c93b07a38bb5/cureus-0016-00000071519-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/1f49a0d91f16/cureus-0016-00000071519-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/ee9cfa4c6be7/cureus-0016-00000071519-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/f8222a4bd510/cureus-0016-00000071519-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/e21aa9e86982/cureus-0016-00000071519-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/20c65adf383b/cureus-0016-00000071519-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/2d1e8144e458/cureus-0016-00000071519-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/b62c6590d49e/cureus-0016-00000071519-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/fe74697b6d9f/cureus-0016-00000071519-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/119fcce8c26b/cureus-0016-00000071519-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/8a1f7ecebccb/cureus-0016-00000071519-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/c93b07a38bb5/cureus-0016-00000071519-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/1f49a0d91f16/cureus-0016-00000071519-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/ee9cfa4c6be7/cureus-0016-00000071519-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/f8222a4bd510/cureus-0016-00000071519-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/e21aa9e86982/cureus-0016-00000071519-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/20c65adf383b/cureus-0016-00000071519-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f6/11563767/2d1e8144e458/cureus-0016-00000071519-i11.jpg

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本文引用的文献

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Cancer Treat Res Commun. 2023;35:100710. doi: 10.1016/j.ctarc.2023.100710. Epub 2023 Apr 28.
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Application of a three-dimensional printed segmental scapula prosthesis in the treatment of scapula tumors.三维打印节段性肩胛骨假体在肩胛骨肿瘤治疗中的应用。
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Scapula chondrosarcoma: A case report.肩胛骨软骨肉瘤:一例报告。
Medicine (Baltimore). 2019 Apr;98(17):e15388. doi: 10.1097/MD.0000000000015388.
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