青少年踝关节局部腱鞘巨细胞瘤:病例报告及文献复习

Q4 Medicine
D. Dimnjaković, Tin Karakaš, I. Bojanić
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引用次数: 0

摘要

Tenosynovial巨细胞瘤(TGCT)是一种罕见的良性单关节疾病,影响关节、肌腱或滑囊的滑膜。我们区分两种疾病,局限性和弥漫性,这两种疾病在组织学上是相同的。局限性TGCT(LTGCT)的发病率为每百万人10例,其中约5%发生在脚踝。我们报告了一例罕见的青少年脚踝前部LTGCT病例,表现为肿胀和偶尔疼痛,尤其是在体育活动中。在核磁共振成像(MRI)上,可以在脚踝前部看到一个结构不均匀、包裹良好的肿瘤。除了脚踝前部无痛性肿胀外,体检还显示足部背屈不足。手术是在关节镜下进行的,但由于肿瘤的大小,无法单独切除,因此需要多块切除。组织病理学分析证实肿瘤为TGCT。在两年的随访期间,患者的脚踝手术没有出现问题,对照核磁共振成像也没有观察到疾病复发。TGCT应被视为一种可能的鉴别诊断,尤其是当脚踝疼痛和肿胀发生时没有受伤。如果由经验丰富的外科医生在训练有素的团队的支持下进行关节镜手术,那么关节镜手术是一种安全有效的治疗方法。手术治疗类型的选择应根据关节中形成的解剖位置以及外科医生的评估和偏好来确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Localized tenosynovial gigantocellular tumor of the ankle in an adolescent: case report and literature review
Tenosynovial giant cell tumor (TGCT) is a rare, benign monoarticular disease that affects the synovial lining of joint, tendon or bursa. We distinguish two forms of the disease, localized and diffuse forms, both of which are histologically identical. The incidence rate of the localized form of TGCT (LTGCT) is 10 cases per million people, of which about 5% of all cases occur in the ankle. We present a rare case of LTGCT in the anterior part of the ankle in an adolescent, which was manifested by swelling and occasional pain, especially during sports activities. On the magnetic resonance imaging (MRI) a heterogeneously structured, well encapsulated tumor was visible in the anterior part of the ankle. In addition to the painless swelling in the anterior part of the ankle, the physical examination revealed a deficit of dorsiflexion of the foot. The operation was performed arthroscopically but the tumor could not be removed in a single piece due to its size, so it was removed in multiple pieces. Histopathological analysis confirmed that the tumor was TGCT. During the two-year follow-up period, the patient did not have problems with the operated ankle and no recurrence of the disease was observed on control MRIs. TGCT should be considered as a possible differential diagnosis, especially when pain and swelling of the ankle occur without injury. Arthroscopic surgery is a safe and effective method of treatment if it is performed by an experienced surgeon backed by a welltrained team. The choice of the type of surgical treatment should be determined depending on the anatomical position of the formation in the joint and the surgeon’s assessment and preference.
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来源期刊
Paediatria Croatica
Paediatria Croatica 医学-小儿科
CiteScore
0.20
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: In the inaugural 1956 issue of the journal, the editor Dr Feđa Fischer Sartorius outlined the journal''s vision and objectives saying that the journal will publish original papers on the development, pathology, and health care of children from the prenatal period to their final biological, emotional and social maturity. The journal continues this vision by publishing original research articles, clinical and laboratory observations, case reports and reviews of medical progress in pediatrics and child health.
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