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Giant Cell Tumor of the Patella: A Case Report
髕骨巨大細胞瘤：一病例報告
摘要
巨大細胞瘤是一種少見之良性腫瘤，通常以長骨之骨端較易發生，尤其以股骨遠端和脛骨近端最為常見，其發生年齡以20至40歲為主。本病例是一位十三歲大女童，病灶位於右髕骨，實屬罕見，電腦斷層顯示有一骨熔性病灶於在髕骨，手術前診斷也比較困難，故加以分析討論。
並列摘要
A 13-year-old girl presented with pain, swelling and local tenderness of the right knee region for two months. The radiograph findings showed a radiolucent lesion confined to the right patella. Computed tomography (CT) demonstrated an expansile osteolytic lesion without cortical breakthrough or calcification in the right patella. The pathological diagnosis was giant cell tumor. A literature review indicated that our patient was the youngest known to have a giant cell tumor in the patella. Curettage with phenol cauterization and allograft reconstruction was done. Following surgery, range of motion exercise was started 6 weeks of immobilization with a long leg splint. The postoperative course was unremarkable and the patient regained full range of motion without pain.
延伸閱讀
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