[广泛运动和甲基丙烯酸甲酯重建治疗髂翼良性软骨母细胞瘤1例]。

C Glorion, P Djian, G Delépine, M C Voisin, D Goutallier
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引用次数: 0

摘要

尽管髂翼良性软骨母细胞瘤具有侵袭性行为,但通过广泛的手术锻炼可使其完全缓解。病例28岁的男性治疗广泛的手术和丙烯酸水泥重建报告。术后随访7年,功能恢复良好,无局部复发。使用骨水泥避免了植骨的需要。然而,由于皮肤不耐受,随后的水泥移除被证明是必要的。文献回顾的数据证实,髂成软骨细胞瘤预后不良,主要是因为潜在的机械并发症。报告的恶性转化病例发生在放疗后。在作者看来,尽早进行广泛的外科运动是治疗的选择。
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[A case of benign chondroblastoma of the iliac wing treated by extensive exeresis and reconstruction with methylmethacrylate].

Complete remission can be achieved by extensive surgical exeresis in patients with benign chondroblastoma of the iliac wing despite the reputation of these tumors for aggressive behavior. The case of a 28-year-old male treated with extensive surgery and acrylic cement reconstruction is reported. After seven years follow-up, the functional result is satisfactory and there is no evidence of local recurrence. Use of cement obviated the need for bone grafting. However, subsequent removal of the cement proved necessary because of skin intolerance. Data from a review of the literature confirmed that iliac chondroblastoma carries a poor prognosis, mainly because of the potential for mechanical complications. The cases of malignant transformation reported occurred after radiotherapy. In the authors' opinion, extensive surgical exeresis performed as early as possible is the treatment of choice.

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