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vydalennia-puhlyny-miakyh-tkanyn1
1 Minute 795Views

Випадок діагностики та лікування 3-денного !!! рецидиву остеосаркоми.

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.

vydalennia-puhlyny-miakyh-tkanyn

 

 

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.
vydalennia-puhlyny-miakyh-tkanyn1
Момент операції видалення метастазу з м’яких тканин: розріз до 4 см, видалення пухлини з підшкірної клітковини з оточуючими тканинами та частково з фасцією.
vydalennia-puhlyny-miakyh-tkanyn2
Це м’які тканини видалені з пухлиною, до 3 см максимальний розмір.
vydalennia-puhlyny-miakyh-tkanyn3
В центрі видалених тканин на розтині видно округлу хрящоподібну пухлину в капсулі до 6 мм в діаметрі.

 

 

 

Новинирецидив остеосаркоми
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