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鎖骨骨軟骨瘤─病例報告

Osteochondroma Clavicle - A Case Report

摘要


骨軟骨瘤(Osteochondroma)發生在鎖骨的機會小於1%,它本身是良性的疾病,但是當發生疼痛,或是突然變大,就需考慮是否有轉化成惡性軟骨肉瘤(Chondrosarcoma)的可能。報告的病例是一位成年的女性(45歲),在右鎖骨內側端有一腫瘤,觸診發現是堅硬不能移動,於最近幾個月來漸漸變大,呼及右上肢循環與神經系統皆正常,經X光照像及電腦斷層攝影檢查,顯示為一骨樣腫瘤,有向胸腔內延生的情況,為避免將來造成上腔靜脈壓迫,經手術切除後證實為骨軟骨瘤。

關鍵字

骨軟骨瘤 鎖骨

並列摘要


Osteochondroma is a development anomaly, rare in clavicle, once it suddenly increase in size or pain, malignant chondrosarcomatous degeneration have to be considered. Herein we report a case of 45 years old married female, she suffered from pain and increasing size of an anterior chest wall mass, which has been noted for more than ten year. She denied any symptoms of respiratory or circulation or neurological disturbance of upper limb. The chest roengenogram and CT scan revealed a bony mass over the medial end of right clavicle, the mass protruded ratherly inward but didn’s compress the superior vena cava. Aurgical treatment was carried out and pathological examination reported that it was typical histology feature of osteochondroma.

並列關鍵字

Osteochondroma clavicle

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