模块化假体治疗膝关节GCT一例报告

A. Papuc, Ioan-Mihai Japie, T. Ciobanu, O. Nutiu, D. Rădulescu, R. Rădulescu
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引用次数: 0

摘要

GCT是一种具有转移潜力的侵袭性良性肿瘤,最常见于肺部,占患者的2-3%。它约占骨肿瘤总数的5%,约占良性骨肿瘤总数的15%。发病率最高发生在30 - 40岁之间,最常影响长骨骨骺(股骨远端、胫骨近端和桡骨远端)。我们报告的情况下,50岁的女性,没有以往的病史,承认在急诊科(ED)的显著疼痛和功能损伤的左膝。临床检查和影像学检查确定了股骨远端肿瘤的诊断。患者在肿瘤限度内接受手术切除肿瘤,随后进行骨水泥模块化肿瘤假体关节置换术。即使GCT是良性肿瘤,它也具有侵袭性和恶性潜能,对生活质量有重要影响。由于定位,这种类型的肿瘤可以在临床上迅速表现出来,这使得早期诊断和微创手术技术成为可能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
GCT of knee treated with modular prosthesis-case presentation
Abstract The GCT is an aggressive benign tumor with metastatic potential, most often within the lungs in 2-3% of the patients. It makes about 5% of total bone tumors and about 15% of total benign bone tumors. The maximum incidence occurs between 30 and 40 years old, most frequently affecting the long bones epiphysis (distal femur, proximal tibia, and distal radius). We report the case of a 50-year-old female, with no previous medical history, admitted in the emergency department (ED) for significant pain and functional impairment of the left knee. Clinical examination and imaging tests established the diagnosis of distal femoral tumor. The patient underwent surgical segmental resection of the tumor within oncological limits and subsequent arthroplasty with cemented modular tumoral prosthesis was performed. Even if the GCT is a benign tumor, it has an aggressive behavior and malignancy potential with an important impact on quality of life. Due to localization, this type of tumor can quickly manifest clinically, which allows an early diagnosis and a less invasive surgical technique.
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