2000年
悪性骨巨細胞腫の2症例
整形外科と災害外科
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- 巻
- 49
- 号
- 1-4
- 開始ページ
- 271
- 終了ページ
- 274
- 記述言語
- 日本語
- 掲載種別
- DOI
- 10.5035/nishiseisai.49.271
- 出版者・発行元
- West-Japanese Society of Orthopedics & Traumatology
It is not uncommon for sarcomatous transformation of the giant cell tumor (GCT) of the bone to occur after radiation, but rarely does malignant transformation occur spontaneously. A few cases have been documented in detail. We report two additional cases of GCT of the bone spontaneously transforming into osteosarcoma. The first case in a 53-year-old man which is absolutely unique and most interesting in that the dedifferentiation process occurred in his right elbow with 7 years of natural history after diagnosis of a primary benign humeral (GCT) tumor. The right upper extremity was resected due to the development of a large tumor with ulcer and bleeding, and pathologic examination demonstrated several small areas of conventional GCT and mass composed of a mixture of GCT and osteosarcoma, low-grade fibrosarcoma, and MPH like pattern. Chemotherapy was chosen because of multiple metastatic nodules in both of his lungs detected by CT scan. The second case involved a man, who had an aggressive tumor in his left distal femoral end. He underwent AK amputation followed by TKA and low dose radiation, and has reported no symptoms for 5 years. The subsequent CT scan for pneumothorax revealed multiple lung nodules. In addition to conventional and benign GCT area, the resection nodules show a second component of very high-grade osteosarcoma. Chemotherapy, mainly MTX and ADR, was performed. Furthermore, lung tumor resection and chemotherapy were repeated.
- リンク情報
- ID情報
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- DOI : 10.5035/nishiseisai.49.271
- ISSN : 0037-1033
- CiNii Articles ID : 10010025304
- CiNii Books ID : AN00126582