Weisman M, Berenfeld B, Roffman M
Dept. of Orthopedics, Carmel Hospital, Haifa.
Harefuah. 1994 Jan 16;126(2):65-8, 111.
Adamantinoma of the tibia is a rare, malignant growth originating in epithelial fetal cells. We present a 17-year-old girl who had prolonged pain in her right calf for 6 years. X-ray showed a growing malignant lesion whose nature was confirmed by biopsy. After planning the anatomical and functional aspects, the tibia was excised in its diaphyseal part, which included the growth with wide margins. Iliac bone was implanted in place of excised tibial bone. After 1 year the implant showed complete healing and had grown to impressive size, ensuring safe carrying of body weight, and the length and function of the limb were completely normal. 4 years postoperatively no pathologic lesion was noted on clinical examination, in X-rays nor in another biopsy of the implanted bone and the surrounding soft tissues.
胫骨造釉细胞瘤是一种罕见的起源于胎儿上皮细胞的恶性肿瘤。我们报告一名17岁女孩，她右小腿持续疼痛6年。X线显示一个不断生长的恶性病变，活检证实了其性质。在规划了解剖和功能方面后，切除了胫骨骨干部分，包括带有广泛边缘的肿瘤。用髂骨替代切除的胫骨。1年后，植入物显示完全愈合，并且生长到令人印象深刻的大小，确保了安全承重，肢体的长度和功能完全正常。术后4年，临床检查、X线检查以及植入骨和周围软组织的再次活检均未发现病理病变。
