«КЛИНИЧЕСКИЕ МАСКИ» КОСТНЫХ САРКОМ У ДЕТЕЙ: ШЕСТЬ КЛИНИЧЕСКИХ СЛУЧАЕВ

М. Ю. Рыков
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引用次数: 1

Abstract

Background. Solid tumors in children are one of the most common childhood malignancy, second only to hemoblastosis. Among solid tumours, about 5% are bone sarcomas: osteosarcoma (3%) and Ewing's sarcoma (2%). Atypicality of the these diseases course makes an early diagnosis a real challenge. Case Reports. The article presents six clinical observations of patients with bone sarcomas. We demonstrate the difficulties in diagnosing of this disease group which is associated with the absence of both specific symptoms and  distinct clinical picture. Conclusion. Pediatricians and pediatric surgeons should take into account the possibility of atypical course of bone sarcomas in children. Low cancer alertness is the reason for a significant delay in establishing the correct diagnosis which contributes to the tumour process generalization and reduces the chances of achieving remission while increasing the cost of treating such patients.
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儿童骨骼肉瘤“临床面具”:6例临床病例
背景。儿童实体瘤是最常见的儿童恶性肿瘤之一,仅次于造血细胞病。在实体瘤中,约5%为骨肉瘤:骨肉瘤(3%)和尤文氏肉瘤(2%)。这些疾病病程的非典型性使得早期诊断成为一个真正的挑战。案例报告。本文报道骨肉瘤患者的6例临床观察。我们证明在诊断这一疾病组的困难,这是与缺乏具体症状和明确的临床图片。结论。儿科医生和儿科外科医生应考虑到儿童骨肉瘤非典型病程的可能性。低癌症警觉性是建立正确诊断的显著延迟的原因,这有助于肿瘤过程的泛化,降低了实现缓解的机会,同时增加了治疗此类患者的成本。
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