PDF(Pubmed)
Abstract：
Osteochondromas (OC), or exostoses, are developmental defects rather than true neoplasms. Misdirected physeal bone growths give rise to OC. It causes cartilage-capped bony extensions to emerge from the lateral outlines of endochondral bones. We discuss a case of OC in a 35-year-old female who presented with severe chest wall deformity and breathlessness due to compromised left lung function. CT scan showed a vast osteochondroma arising from the ventral surface of the scapula, which was palpable in the supra mammary region on the left side. The tumor mass was completely excised from the base of the stalk. Her breathlessness and compromised left lung function returned to normal in the post-op period. However, the chest deformity was corrected over two months. The article provides insights into the presentation in a patient with such a massive tumor due to its location. Surgical excision should be the treatment of choice for huge osteochondromas.
摘要：
骨软骨瘤(OC),或者外生骨,是发育缺陷而不是真正的肿瘤。错误的骨生长会导致OC。它导致软骨覆盖的骨延伸从软骨内骨的外侧轮廓出现。我们讨论了一名35岁女性的OC病例，该女性由于左肺功能受损而出现严重的胸壁畸形和呼吸困难。CT扫描显示一个巨大的骨软骨瘤出现在肩胛骨的腹面,在左侧的乳腺上区域可以触及。从茎的基部完全切除肿瘤块。手术后，她的呼吸困难和左肺功能受损。然而,胸部畸形在两个月内得到纠正。该文章提供了对由于其位置而具有如此巨大肿瘤的患者的表现的见解。手术切除应该是巨大骨软骨瘤的首选治疗方法。
