KOSTANIN DEV HÜCRELİ KEMİK TÜMÖRÜ: TOTAL EKSİZYON VE REKONSTRÜKSİYON PLAĞI İLE TORAKS DUVARI STABİLİZASYONU
Dev hücreli tümörler kemiğin nadir görülen neoplazmlarındandır. Tüm kemik neoplazmlarının yaklaşık %5'ini oluştururlar ve sıklıkla uzun kemiklerin epifizleri etrafında görülürler. Genellikle soliter ve lokal olarak agresif olmalarına rağmen benign tümörler olarak kabul edilir ve nadiren multipl olabilir. Sadece %0.5-0.6'sı kostalarda ve genellikle posterior arkta lokalizedir. Sol üç ve dördüncü kosta anterior arkta dev hücreli tümörü olan ve total rezeksiyon sonrası, göğüs duvarındaki defektin, rekonstrüksiyon plağı ile stabilize edildiği 23 yaşında bir erkek olguyu sunuyoruz.
GIANT CELL BONE TUMOUR OF RIB: TOTAL EXCISION AND STABILIZATION OF THORACIC DEFECT WITH RECONSTRUCTION PLAQUE
Giant cell tumors of the bone are rare neoplasms. And approximately 5% of all bone neoplasms and usually originates from the epiphysis of long bones. Only 0.5-0.6% of the giant cell tumor are located in the rib and usually located on posterior arc. Although rare, giant cell tumor should be considered in the differential diagnosis of the chest wall mass. Stabilization with reconstruction plaque of the is may be reasonable alternative chosen for big chest wall defect due to wide resections on the chest wall tumours. We report a case of the 23-years old man who was found to giant cell tumor originating from the anterior arc of the third and fourth ribs. The tumor and the surrounding chest wall were completely resected, and the chest wall defect was stabilized with reconstruction plaque.
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- 1. Locher GW, Kaise r G. Giant-cell tumors and
aneurysmal bone cysts of ribs in childhood. J
Pediatr Surg. 1975; 10(1): 103-8.
- 2. Gamanagatti S, Hiralal, Thulkar S. Giant cell
tumour of rib. Eur J Radiol 2004; 51: 83-5.
- 3. Briccoli A, Malaguti C, Iannetti C, Rocca M,
Bertoni F. Giant cell tumor of the rib. Skeletal
Radiol 2003; 32: 107-10.
- 4. Nirula R, Diaz JJ Jr, Trunkey DD, Mayberry
JC. Rib fracture repair: indications, technical
issues, and future directions. World J Surg.
2009; 33: 14-22.
- 5. Gupta V, Mittal R. Giant cell tumor of rib: rare
location on the anterior aspect. Arch Orthop
Trauma Surg 2000; 120: 231-2.
- 6. Shin JS, Lee IS, Kim A, Kim BH. Giant cell
tumor originating from the anterior arc of the
rib. J Korean Med Sci 2002; 17: 849-51.
- 7. Caudell JJ, Ballo MT, Zagars GK, Lewis VO,
Weber KL, Lin PP, Marco RA, El-Naggar AK,
Benjamin RS, Yasko AW. Radiotherapy in the menagement of giant cell tumor of bone. Int.
J. Radiat Oncol Biol Phys 2003; 57: 158-65.
- 8. Dahlin DC. Giant cell tumor of bone: high
lights of 407 cases. Am J Roentgenol 1985;
144: 955-60.
- 9. Anazawa U, Hanaoka H, Shiraishi T, Morioka
H, Morii T, Toyama Y. Similarities between
giant cell tumor of bone, giant cell tumor of
tendon sheath, and pigmented villonodular
synovitis concerning ultrastructural cytochemical
features of multinucleated giant cells
and mononuclear stromal cells. Ultrastruct
Pathol. 2006; 30(3): 151-8.