Schutz John F, Hamad Christopher D, Russell Michael D, Abdeljaber Mahmuod, Nelson Scott D, Eilber Fritz
University of Colorado Department of Orthopedics, Aurora, US.
Department of Orthopedic Surgery, University of California Los Angeles, Los Angeles , US.
Diagn Pathol. 2024 Dec 18;19(1):156. doi: 10.1186/s13000-024-01581-3.
We present the case of a 73-year-old female with an acromioclavicular joint cyst associated with atypical, exquisite, progressive pain, and imaging findings concerning for neoplastic etiology. She underwent en bloc resection of the trapezium containing this cystic mass and distal clavicle. Surgical pathology demonstrated findings consistent with a large ganglion cyst without evidence of malignancy.
Our case serves to emphasize the importance of stepwise evaluation and appropriate treatment of such cysts while utilizing appropriate principles of oncologic resection in cases where a neoplastic etiology is considered.
我们报告一例73岁女性,其肩锁关节囊肿伴有非典型、剧痛、进行性疼痛,影像学检查结果提示肿瘤性病因。她接受了包含该囊性肿物的大多角骨及锁骨远端的整块切除术。手术病理显示结果与一个大的腱鞘囊肿相符,无恶性证据。
我们的病例强调了在考虑肿瘤性病因的情况下,对此类囊肿进行逐步评估和适当治疗的重要性,同时要运用适当的肿瘤切除原则。