Наша пацієнтка 10 років з локальною формою остеосаркоми закінчила лікування пів року тому. Було все добре. Останній огляд у нас в клініці був місяць тому. В понеділок дитина поскаржилась мамі на невеличку горошину, яку вона намацала трошки вище коліна. Вже через 2 години дитина була в лікарні. Проведено УЗД: дійсно, визначається округла пухлина в капсулі до 6 мм. В середу виконана операція: видалення пухлини м’яких тканин. В цю середу діагноз гістологічно підтверджений: рецидив остеосаркоми. Краї резекції чисті.
Висновок: обмацування кінцівки після лікування злоякісних пухлин підтверджує простий, але дуже важливий спосіб ранньої діагностики рецидиву.
Оперована ліва нижня кінцівка: резекція лівої стегнової кістки та імплантовано подовжуючий ендопротез. видно тонкий подовжній рубець після операції. метастазу в м’яких тканинах не видно — дуже малий.
Момент операції видалення метастазу з м’яких тканин: розріз до 4 см, видалення пухлини з підшкірної клітковини з оточуючими тканинами та частково з фасцією.
Це м’які тканини видалені з пухлиною, до 3 см максимальний розмір.
В центрі видалених тканин на розтині видно округлу хрящоподібну пухлину в капсулі до 6 мм в діаметрі.
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