Reconstruction Using Frozen Autograft for Disseminated Phosphaturic Mesenchymal Tumor of the Humerus after a Pathological Fracture

Reconstruction Using Frozen Autograft for Disseminated Phosphaturic Mesenchymal Tumor of the Humerus after a Pathological Fracture
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冷冻自体移植重建肱骨病理性骨折后播散性磷酸盐间质瘤

DOI:
10.1155/2019/3015675
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发表时间:
2019
影响因子:
--
通讯作者:
Tanaka Sakae
Tanaka Sakae
中科院分区:
--
文献类型:
--
作者:
Kobayashi Hiroshi;Hirai Toshihide;Makise Naohiro;Ushiku Tetsuo;Ito Nobuaki;Koga Minae;Ikegami Masachika;Shinoda Yusuke;Akiyama Toru;Tanaka Sakae

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磷尿性间充质瘤(PMTs)是引起肿瘤诱导的骨软化症(TO)的主要原因,通常发生在小而无侵袭性的骨组织中。在此,我们报告一位67岁男性病理性骨折后发生的肱骨播散性PMT的病例。肿瘤刮除后使用液氮作为辅助治疗,冷冻的自体移植物采用带蒂冷冻法保存肩关节功能。据我们所知,这是第一例骨内播散性PMT被冷冻自体移植治疗的病例,这种治疗方法可能对刮除骨内PMT不可避免地不足的病例有效。
Phosphaturic mesenchymal tumors (PMTs) that cause tumor‐induced osteomalacia (TIO) occur commonly in the bone with a small and nonaggressive appearance. Here, we report the case of a 67‐year‐old man with disseminated PMT in the humerus after a pathological fracture. Liquid nitrogen was used as an adjuvant therapy after curettage of the tumor, and the frozen autograft, using a pedicle freezing method, conserved the function of the shoulder joint. To our knowledge, this is the first case of a disseminated PMT in the bone that was treated with a frozen autograft, and this treatment method may be effective for cases in which curettage for PMT in the bone would be inevitably inadequate.
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