恶性转变的多个手内红色体二次奥利埃病:一个案例报告
Daniela Kristina Carolino1, Keiichi Muramatsu1, Yasuhiro Tani1
1Department of Orthopaedic Surgery, Nagato General Hospital, Nagato, Yamaguchi, Japan.
The journal of hand surgery Asian-Pacific volume
|May 26, 2025
概括
奥利尔病 (OD) 可以导致二次性冠状腺瘤 (CS). 本案例研究表明,通过功能节约性手术和密切监测,成功治疗多重手软骨肉瘤,证明了良好的长期结果.
科学领域:
- 整形瘤学 整形瘤学
- 骨发育不良症 骨发育不良症
背景情况:
- 由于奥利埃病 (OD) 引起的二次性染色体病是罕见的.
- 二次性软骨肉瘤 (CS) 不常见,占恶性骨瘤的1%.
- 恶性转变为同一手的多重形瘤是非常罕见的.
研究的目的:
- 报告一个罕见的奥利耶病病例,多重体经历恶性转变.
- 为了记录手部软骨肉瘤治疗的长期随访.
- 评估手软骨肉类瘤节能手术选择的疗效.
主要方法:
- 在指指和中指的多重内瘤中,基因组学确认了冠状动脉瘤.
- 手术管理包括切割和骨移植.
- 针对复发和转移的长期临床和放射性随访.
主要成果:
- 一名72岁的女性患者呈现了经组织学证明的软骨髓瘤.
- 手术后六年没有观察到复发或转移.
- 手部冠状肉瘤虽然在局部具有侵略性,但很少转移,并且具有有利的5年生存率.
结论:
- 功能节约性手术是手软骨肉瘤的可行选择,因为它们的预后通常很好.
- 建议在治疗后进行密切监测.
- 这一案例凸显了成功管理手部多重次性冠状腺瘤的可能性.
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