有功能结果的肩胛骨大软骨肉瘤Malawer肢体保留手术1例报告

K. Mohammed, P. Das, Supratim Bhattacharyya, B. Satpathy
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摘要

软骨肉瘤是一种恶性软骨骨肿瘤。它通常发生在骨盆和股骨。然而,肩胛骨原发性软骨肉瘤相对罕见,占所有软骨肉瘤的5%-7%。尽管对软骨肉瘤进行广泛的阴性切缘局部切除就足够了,但对于肩胛骨位置的大肿瘤,通常要进行截肢。残肢保留手术可以在大肿瘤中进行,以保留功能。在这里,我们报告一例53岁男性的大肩胛骨软骨肉瘤,该病例成功地接受了Malawer肢体保留手术,无任何残留或阳性切缘。患者定期随访,肩带解剖功能保存完好,术后24个月无复发。
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Malawer limb salvage surgery for large chondrosarcoma of scapula with functional outcome – A case report
Chondrosarcoma is a malignant cartilaginous bone tumor. It commonly occurs in the pelvis and femur. However, scapula primary is relatively rare, accounting for 5%–7% of all the chondrosarcomas. Although wide local excision with negative margins is sufficient for chondrosarcoma, amputation is commonly performed for large tumors at the scapula location. Malawer limb salvage surgery can be performed in a large-sized tumor in order to retain the function. Here, we report a case of large scapular chondrosarcoma in a 53-year-old male, and the case was successfully treated with Malawer limb salvage surgery without any residual or positive margin. The patient was on regular follow-up with a well-preserved anatomical function of the shoulder girdle and without any recurrence of the disease after 24 months of surgery.
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