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題名 | 慢性骨髓炎併發鱗狀上皮細胞癌--病例報告及文獻回顧=Chronic Osteomyelitis Complicated with Squamous Cell Carcinoma: Case Report and Literature Review |
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作者 | 王振華; 李世強; 王世杰; 沈景發; |
期刊 | 國防醫學 |
出版日期 | 19981200 |
卷期 | 27:6 1998.12[民87.12] |
頁次 | 頁399-404 |
分類號 | 416.26 |
語文 | chi |
關鍵詞 | 慢性骨髓炎; 鱗狀上皮細胞癌; 瘻管; Chronic osteomyelitis; Squamous cell carcinoma; Fistula; |
中文摘要 | 慢性骨髓炎併發惡性病變,以鱗狀上皮細胞癌較常見,臨床上雖然並不常見此種 併發症,發生率約0.2%至1.6%。患者60歲男性,慢性骨髓炎病史約三十年,和患者52歲女 性慢性骨髓炎病史一年,臨床上發現脛骨處有惡性病變。兩者均接受膝上截肢手術。前者術 後半年發現腹股溝淋巴轉移,接受淋巴摘除手術和放射線照射治療;不幸地,術後五月,腫 瘤侵犯股動脈,引起大量出血而死亡。後者術後追蹤一年並無復發或轉移。由於臨床症狀並 不明顯,或病理切片取樣偏差,導致誤診和病況延遲治療,而影響預後。早期正確診斷,積 極手術治療和術前預後因子評估是最好預防指標。 。 |
英文摘要 | In clinical, chronic osteomyelitis complicated with squamous cell carcinoma is uncommon. The incidence is 0.2% to 1.6%. It were found to have malignant change in a 60-year-old man with a 30-year history of chronic osteomyelitis and a 52-year-old woman with a one-year history of chronic osteomyelitis. The amputation of above knee were performed. one patient died of femoral artery metastasis ll months after operation. The other patient was no local recurrence with a follow-up 12 months. The good prognosis depends on early accurate diagnosis and aggressive surgical treatment. |
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