원위 대퇴골의 거대세포종에 대한 광범위 절제술 후 발생한 연부조직내 재발
A Case of Soft Tissue Recurrence after Wide Resection of Giant Cell Tumor in the Distal Femur
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거대세포종은 젊은 연령에서 장관골의 골간단 및 골단부에 호발하는 비교적 흔한 종양으로 국소재발률이 높고 종종 폐전이를 일으키기도 하여 잠재적 악성의 특징을 가지며 장기적인 추시관찰을 필요로 한다. 장관골의 거대세포종 수술 후 재발은 대부분 첫 수술을 시행한 장관골내에 재발하는 경우가 많으며 주위 연부조직에서의 재발은 아주 드물게 알려져 있다. 저자들은 대퇴골 원위부에 발생한 거대세포종에 대해 광범위 절제술로 치료 후 슬와부 연부조직에서 재발한 예를 문헌 고찰과 함께 보고하는 바이다.
Abstract
Giant cell tumor of the long bones is a relatively common neoplasm in young age patients, and this tumor usually involves the metaphysis and epiphysis. Due to the high rates of recurrence and the occasional development of pulmonary metastasis, this tumor has a malignant manifestation and it requires long term follow-up observation. Most local recurrences of giant cell tumor after surgery occur in the long bone that was previously curetted; however, the recurrence of tumor in the soft tissue around the long bones is known to be rare. We describe here a case of giant cell tumor that recurred in the soft tissue around the knee after wide resection of the distal femur and we discuss this case along with reviewing the related literature.
참고문헌 (10)
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