12岁女性肱骨近端成软骨细胞瘤1例报告及文献复习。

Emilio Valdes-Davila, Omar Fernando Rodríguez-Rodríguez, David Muñoz-Leija
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引用次数: 0

摘要

这个病例很重要,因为它突出了一个罕见的成软骨细胞瘤的表现,因为肿瘤在男性中占优势,而在女性中罕见。肱骨近端是成软骨细胞瘤报道较少的部位之一,此外,肿瘤表现出动脉瘤样变化,这是已知的复发危险因素。本病例为骨科文献提供了关于这种罕见肿瘤的临床和影像学特征、诊断挑战和治疗策略的见解。病例报告:一名来自msamuxico的12岁女孩,在牵引伤后出现进行性右肩疼痛,临床检查显示有限的外展和可触及的肿块,影像学和病理学检查显示肱骨近端有病变。由于肿瘤的范围,采用同种异体移植物整块切除并固定,这是一种不常用于这些患者的手术,以恢复形态和功能。结论:该病例强调了早期识别和多学科治疗成软骨细胞瘤的重要性,特别是在非典型表现中,如年轻女性。整体切除联合同种异体移植物重建提供了良好的临床结果,减少了复发风险并保留了关节功能。本报告为骨科文献做出了贡献,记录了罕见的病例,强调了个体化手术策略和术后康复在实现最佳结果中的关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chondroblastoma of the Proximal Humerus in a 12-years-old Female: A Case Report and a Review of the Literature.

Introduction: This case is important because it highlights a rare presentation of chondroblastoma, given the tumor's male predominance and its uncommon occurrence in females. The proximal humerus is one of the less frequently reported sites for chondroblastoma, additionally, the tumor exhibited aneurysmal changes, a known risk factor for recurrence. This case contributes to the orthopedic literature by providing insight into the clinical and imaging features, challenges in diagnosis, and management strategies for this rare tumor.

Case report: A 12-years-old girl from México, presented with progressive right shoulder pain after a traction injury, clinical examination showed limited abduction and a palpable mass, imaging and pathology tests revealed a lesion in the proximal humerus. Due to the tumor's extent, en bloc resection with an allograft and fixation was performed, a procedure not commonly used in these patients, to restore morphology and function.

Conclusion: This case underscores the importance of early recognition and a multidisciplinary approach to managing chondroblastoma, especially in atypical presentations, such as in young females. En bloc resection combined with allograft reconstruction provided a favorable clinical outcome, minimizing recurrence risk and preserving joint function. This report contributes to the orthopedic literature by documenting a rare presentation and emphasizing the critical role of individualized surgical strategies and post-operative rehabilitation in achieving optimal outcomes.

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