第一跖骨巨细胞瘤继发性恶性转化为蕈状花菜样肿块-一例罕见报告

Abhishek Shinde, Kapil Lalwani, Rajendra N Shewale
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引用次数: 0

摘要

巨细胞瘤(GCT)是最常见的良性骨肿瘤。它更常见于生命的第三个十年,在女性中更常见。膝关节即股骨远端和胫骨近端占大多数病例,其次是桡骨远端。在足部的发生是罕见的,通常发生在年轻的年龄组。足部的进展通常是加速的,并被模糊的症状和无聊的足部疼痛所掩盖。恶性转化是罕见的。在我们的病例中,38岁的女性患者患有第一跖骨的GCT,后来发展为累及同侧腹股沟和股淋巴结的继发性恶性肿瘤。后来通过进行赛姆氏截肢和相关淋巴结清扫来治疗。在我们的单一病例中,我们注意到GCT的这些显著特征,它们具有高复发率,局部侵袭性和恶性转化的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Secondary malignant transformation of giant cell tumor of the first metatarsal presenting as a fungating cauliflower like mass- A rare case report
Giant cell tumor (GCT) is the most commonly occurring benign bone tumor. It occurs more commonly in the third decade of life and is slightly more common in females. The knee joint i.e. the distal femur as well as proximal tibia account for most number cases followed by the distal end of radius. The occurrence in foot is rare and usually occurs in the younger age group. The progression in foot is usually accelerated and is masked by vague symptoms and boring type of foot pain. Malignant transformation is rare. In our case the 38 years female patient had GCT of the first metatarsal which later progressed to a secondary malignancy involving the ipsilateral inguinal and femoral lymph nodes. This was later managed by performing a Syme’s amputation along with the involved lymph node dissection. In our single case we noted these salient features of GCT which has a high rate of recurrence, is locally aggressive and has potential for malignant transformation.
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