一种可预防的慢性癌症并发症:经验教训和文献综述

A. Tan, P. Gill, Haitham Kashaba, S. Hales, F. Fahmy
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摘要

手部的恶性肿瘤很少见。出现在手部的软骨肉瘤通常是低级别的,转移风险低。据我们所知,根据文献综述,在英语文献中,有9例手部转移性软骨肉瘤的报道,只有2例腋窝淋巴结病的报道。我们描述了一个不寻常的表现软骨肉瘤的左小指与远处腋窝和肺转移的情况。我们还审查了该患者独特的管理问题和反思学习点,以改善护理。如果及早治疗,我们的病人可能会有满意的结果。我们建议将可疑的手部病变转诊给专业手外科医生,进行早期评估和处理,以减少患者的发病率和死亡率。
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A Preventable Complication of a Slow Growing Cancer: Lessons Learned and a Literature Review -
Malignant tumors of the hand are rare. Chondrosarcoma presenting in the hand are usually low grade with low risk of metastasis. To our knowledge and following literature review, there are nine reported cases of metastatic chondrosarcoma of the hand worldwide in the English literature, with only two reported cases of axillary lymphadenopathy. We describe a case of an unusual presentation of chondrosarcoma of the left little finger with distant axillary and pulmonary metastases. We also review management issues unique to this patient and reflective learning points to improve care. Our patient could have had a satisfactory outcome if treated early. We recommend referral of suspicious hand lesions to a specialist hand surgeon, for early assessment and management, in order to reduce patient morbidity and mortality.
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