颈后真菌性滑膜肉瘤:病例报告

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Badaruddin Sahito, Sajjad Ahmed, Fahad Hanif Khan, Awais Abro, Jugdesh Kumar, Muhammad Waqas Khan, Malik Olatunde Oduoye
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引用次数: 0

摘要

在本报告中,我们描述了一个影响颈部后侧的真菌性滑膜肉瘤的罕见病例。虽然现有文献记载的病例数量有限,但这一特殊病例有助于加深人们对这一罕见病例的了解。检查前 5 个月,一名 20 岁的巴基斯坦裔亚裔男性主诉其颈部后侧出现恶臭的发霉肿物。检查发现,他的颈部有一个 10 × 13 厘米的恶臭发霉肿物,肿物周围有蛆虫,切口处有出血。血红蛋白水平为 6,白细胞总数(TLC)为 23 000,这表明患者神志不清,面色苍白。他被迅速收治入院,术前对患者的总体健康状况进行了优化。在与医疗团队进行全面讨论后,制定了边缘切除和背阔肌(LD)皮瓣覆盖及移植的策略。肿瘤被成功切除,术中为患者进行了背阔肌皮瓣和移植,但感染导致一半的移植失败。随后,对病灶进行了清创,并重新进行了移植。患者随后接受了 5 个周期的化疗和 32 个周期的放疗。两年后,他被诊断出肺部转移。不幸的是,患者在 3.5 年后的一次随访中去世。尽管患者接受了全方位的治疗,但经过手术、放疗和化疗后,预后仍不乐观,这凸显了早期发现和干预真菌性肿瘤病例的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fungating synovial sarcoma at the posterior aspect of neck: a case report
In this report, we describe an uncommon instance of fungating synovial sarcoma affecting the posterior aspect of the neck. Although the existing literature has documented a limited number of cases, this particular case contributes to the knowledge about it, which is scarce. A total of 5 months before the examination, a Pakistani-Asian male, age 20 years, complained of a malodorous fungating swelling on the posterior aspect of his neck. An examination revealed a foul-smelling, 10 × 13 cm fungating enlargement surrounded by maggots and hemorrhaging at the site of the incision. A hemoglobin level of 6 and a total leukocyte count (TLC) of 23,000 indicated the patient’s disoriented and pallid appearance. He was expeditiously admitted, and preoperatively, the general well-being of the patient was optimized. After a comprehensive discussion with the medical team, a strategy for marginal excision and coverage with a latissimus dorsi (LD) flap and grafting was devised. The tumor was successfully excised, and an LD flap with graft was conducted on the patient during surgery; however, the infection caused the failure of half of the graft. Following that, the lesion was debrided, and re-grafting was performed. The patient was subsequently administered 5 cycles of chemotherapy and 32 cycles of radiotherapy. He was diagnosed with pulmonary metastasis 2 years later. Sadly, the patient died during a follow-up visit 3.5 years later. The patient’s unfavorable prognosis after surgical intervention, radiotherapy, and chemotherapy, despite undergoing all-encompassing treatments, underscores the importance of early detection and intervention in fungating tumor cases.
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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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