Talu ai nei, Liu Hucheng, faatonu o le Matagaluega o Ponaivi ma Soft Tissue Oncology i le First Affiliated Hospital o Nanchang University, faamaea le "pelvic tumor resection + sacral osteotomy + pelvic replacement + suilapalapa sui + lumbar pedicle screw internal fixation" ma LDK customized pelvic prosthesis , ma sa sologa lelei le taotoga.
O le tagata maʻi na tuʻuina atu i se falemaʻi i fafo mo le faʻaauau pea o le tiga ma le le mautonu.Ina ua maeʻa suʻesuʻega e fesoʻotaʻi ma suilapalapa, na fautuaina le tagata maʻi e ono afaina ai le osteoma, ae na te leʻi gauai i ai, ona faʻateteleina ai lea o ona tiga ma faʻatapulaʻa lona gaoioi.Ona sau ai lea o le tagata maʻi i le Matagaluega o Bone and Soft Tissue Oncology o le First Affiliated Hospital of Nanchang University mo togafitiga.
Ina ua uma ona faʻatagaina i le falemaʻi ma faʻamaeʻaina le biopsy o ponaivi pelvic, na maua ai le maʻi i le osteosarcoma.Ina ua maeʻa se fuafuaga faʻataʻotoga maeʻaeʻa na faʻatulagaina faʻatasi e le tele o matagaluega ma maeʻa sauniuniga aʻo leʻi faia, na faia e le Faʻatonu Liu Hu Cheng le 'au o le "pelvic tumor resection + sacral osteotomy + pelvic replacement + suilapalapa + lumbar arch screw internal fixation" mo le maʻi.
Fa'amatalaga:
Ma'i, fafine, 52 tausaga le matua
Fa'asea:
E sili atu i le 3 masina talu ona maeʻa le chemotherapy mo le osteosarcoma o ponaivi pelvic
Tala'aga fa'afoma'i nei:
O le tagata maʻi na faitio e faapea i le 2022-10, e leai se mafuaʻaga manino mo le maualalo o le tiga i tua ma le le mautonu, ma le tiga ma le fulafula, faʻatasi ma le tiga i le agavale pito i lalo, o loʻo i le agavale agavale, agavale pito i lalo, pito i tua. o le ogavae, pito i tua o le tamai povi e oo i le vae agavale, pe o le pito i lalo o le vae agavale, o le tiga na faateleina pe a umi ona tu ma savali, ma e mafai ona faʻamalolo pe a malolo, e leʻi faʻalogo i ai, ona sosoo ai lea ma le ua amata ona faateleina faailoga o le tiga ma ua le mafai ona savali.
O le MRI na fautua mai: 1) faʻailoga faʻalavelave o le ponaivi iliac agavale, mafaufau i le ono aʻafia ai o manuʻa leaga;2) sina vai itiiti i le sooga suilapalapa agavale.E leai se togafitiga faapitoa na faia, ma o lea ua taofia le gasegase i le falemai mo nisi togafitiga.
Su'esu'ega fa'afoma'i:
"Post-chemotherapy myelosuppression" ulufale
O le fa'atonuga o le fa'atonuga o le "to'esea o le pelvic tumor + sacral osteotomy + suitulaga pelvic + sui suilapalapa + fa'apipi'i totonu ma lumbar pedicle screw"
Fa'ata'ita'iga na lafo mo su'esu'ega：
O le tumo o le pelvic agavale na auina atu mo le suʻesuʻega: o le ponaivi e leʻi faʻaogaina, lapopoa 19.5X17X9 cm, faʻatasi ai ma maso maso faʻapipiʻi, lapopoa 16.5X16X3.5 cm, tele-vaega incision, 1.5 cm mai le pito o le cautery, o se masini na vaaia i le maso maso. , lapopoa 8X6.5X4.5 cm, efuefu efuefu-mumu, faigata, ma e le lelei le faʻamalamalamaina i le va o le mea e taulai i ai ma le ivi.
Tumo o le nerve sciatic agavale: lanu efuefu-mumu e le'i foliga, lapopoa 9.5X3X3m, efuefu-pa'epa'e efuefu-mumu malosi i luga o le mea tipi.
Microscopically, o le paʻu na faʻaalia ai le tufatufaina atu o le lamellar malosi, osofaʻia le fibrofat peripheral, musele faʻafefe ma aano neura, faʻatasi ai ma sela e le masani ai, nucleoli manino, faigofie ona vaʻaia le schizophrenia faaniukilia, heterotypes manino ma le tele o necrosis.
Su'esu'ega fa'ama'i:
(Left pelvis) Faʻatasi ma falemaʻi, faʻataʻitaʻiga ma talafaasolopito, na ogatasi ma se tali pe a maeʻa le chemotherapy mo le maualuga o le osteosarcoma (ituaiga masani).
Fa'ailoga Huvos: Vasega II (togafitiga lelei o le chemotherapy, >50% le necrosis o le tumo, o lo'o sao mai le tino o le tuma).
I'uga o le fa'a'au'au: leai se manu'a na va'aia.
(agavale sciatic nerve) va'aia manu'a a'afia: 2 isi lymph nodes va'aia, leai se metastasis va'aia (0/2) Immunohistochemistry fa'aalia: CK(-)；Vimentin(3+)；Ki-67(75%+)；SATB2(+) ；IMP3(+)；MDM2(+)；P16(+)；S-100(taape +)；H3.3G34W(-)；Brachyury(-)；Desmin(-)；CD68(-).
Fuafuaga o taotoga:
To'esea o le tumo o le tino + o le sacral osteotomy + suitulaga o le pelvic + sui o le suilapalapa
Muamua
Postoperative
Fa'atomuaga a foma'i tipitipi
Polofesa Hucheng Liu
O le Falemai Faʻatasi Muamua a le Nanchang University Orthopedic Hospital
Sili, Matagaluega o Ponaivi ma Tissue Mamalu Oncology
Foma'i Sili, Polofesa Lagolago, supavaisa a le Matai
Faatonu o le Ponaivi ma le Soft Tissue Tumor Group, Orthopedic Branch, Jiangxi Medical Association
Sui Ta'ita'ifono o le Komiti Tumor Ponaivi ma Tissue vaivai a le Jiangxi Physicians Association Orthopedic Branch
Taimi meli: Apr-26-2023