PDF(Pubmed)
Abstract：
Macrodystrophia lipomatosa (MDL) is a rare disorder characterized by overgrowth of mesenchymal cells, resulting in gigantism of one or more digit. We report a case of a woman in her late 60s who presented with abnormal enlargement of the right second toe. By debulking the pathological tissue while preserving the shape of the toe as much as possible without amputation of the entire phalanx, debulking surgery not only helps walking, but also allows wearing shoes of the same size on both feet and achieves cosmetic satisfaction for patients. The functional and cosmetic improvement obtained through debulking surgery in this case resulted in no recurrence of disease 5 years postoperatively and provided a desirable alternative to amputation. Therefore, through this case, we demonstrated that debulking surgery can be a reasonable option for MDL patients.
摘要：
脂肪巨营养不良（MDL）是一种罕见的疾病，其特征是间充质细胞过度生长，导致一个或多个数字的巨型。我们报告了一例60多岁的女性，她的右第二脚趾异常增大。通过切除病理组织，同时尽可能保留脚趾的形状，而不截肢整个指骨，减积手术不仅有助于行走，而且还允许双脚穿着相同尺寸的鞋子，并使患者满意。在这种情况下，通过减积手术获得的功能和美容改善导致术后5年无疾病复发，并为截肢手术提供了理想的替代方案。因此,通过这个案子,我们证明减积手术是MDL患者的合理选择.
