关键词: autoclave bone tumors malignancy surgery primary chondrosarcoma proximal humerus

来  源:   DOI:10.7759/cureus.64266   PDF(Pubmed)

Abstract:
Chondrosarcoma is the third most common primary malignant bone tumor. The proximal humerus is the most common site. Since it is resistant to chemotherapy and radiotherapy, the mainstay of treatment is surgery. Due to the extensive involvement of long bones, it requires reconstruction with either a prosthetic implant or bone graft. We present a case of a 43-year-old female who presented with chondrosarcoma involving 15 cm of humerus. The patient was managed with the resection of 15 cm of humerus and reconstruction with the same resected bone after autoclaving. It was secured with long fixation resulting in arthrodesis of the glenohumeral joint. The patient was followed for one year and there was evidence of callus formation by ultrasound and computed tomography (CT) scan.
摘要:
软骨肉瘤是第三大最常见的原发性恶性骨肿瘤。肱骨近端是最常见的部位。因为它对化疗和放疗有抵抗力,治疗的主要手段是手术。由于长骨的广泛参与,它需要用假体植入物或植骨重建。我们介绍了一例43岁的女性,其表现为涉及15厘米肱骨的软骨肉瘤。对患者进行了15厘米的肱骨切除,并在高压灭菌后用相同的切除骨进行了重建。通过长时间固定固定固定,从而导致盂肱关节的关节固定术。对患者进行了一年的随访,并通过超声和计算机断层扫描(CT)扫描发现了愈伤组织形成的证据。
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