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[乳腺肿瘤的罕见鉴别诊断。肋骨巨细胞瘤]

[Rare differential diagnosis of breast tumor. Giant cell tumor of the ribs].

作者信息

Brenner P, Warbanow F K, Krause-Bergmann A, Kuske M, Berger A

机构信息

Klinik für Unfall- und Wiederherstellungschirurgie, Medizinische Akademie, Carl Gustav Carus, Dresden.

出版信息

Langenbecks Arch Chir. 1997;382(2):64-8.

PMID:9198707
Abstract

We report a case of a breast tumor. As carcinoma of the breast was suspected, a biopsy was taken and a very rare osteoclastoma originating in the rib was identified. Semimalignant bone tumors tend to recur locally. The symptoms are nonspecific; the initial diagnosis is often made late. To differentiate the diagnosis, one should think about primary and secondary bone diseases and tumors of the organs of the thorax. In our case, the tumor was completely resected, including the ribs, and the defect was covered with a corium plasty. In this way, we are able to save the breast. We discuss different methods for covering chest wall defects.

摘要

我们报告一例乳腺肿瘤病例。由于怀疑是乳腺癌,遂进行活检,结果发现是起源于肋骨的一种非常罕见的骨巨细胞瘤。半恶性骨肿瘤往往会局部复发。症状不具有特异性;初始诊断常常较晚做出。为鉴别诊断,应考虑原发性和继发性骨病以及胸部器官的肿瘤。在我们的病例中,肿瘤包括肋骨被完整切除,缺损处用真皮成形术覆盖。通过这种方式,我们得以保住乳房。我们讨论了覆盖胸壁缺损的不同方法。

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