Ortopedia y Traumatología. Cirugía de Tumores Óseos
Ortopedia y Traumatología
Cirugía de Tumores Óseos
lunes, 28 de julio de 2014
Discusión entre pares / 15 yr female, how to proceed?
Orthopaedic Research-Group
Deepak Srivastav
Indian Orthopaedic Research Group
15 yr female, how to proceed?
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Aymen Elbatran
Enchondroma
MRI to confirm
3 horas
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Mohamed Amr
Enchondroma with possible 2ry ABC transformation ..
3 horas
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Editado
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Mohamed Amr
For extended curretage .. crushing & strut fibular graft ..
May u dont have to graft it in this age
3 horas
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Rudy Kwang
what is the use of MRI in this case? just do curretage and bone graft and get histopathology exam
3 horas
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1
Osama Samir Mohamed
Follow Eniking Q .... lytic lesion .. involving epi - meta - diaphysis of proximal phalanx .. ill defined .. massive expansion and cortical destruction .. soft tissue swelling .. no soap bubble .. no honey comb .. no periosteal reaction.. no calcification
to me it is malignant lesion ... please confirm the progess of the condition from the history..
enchondroma is excluded due to the massive destruction of the cortex with no calcification
complete the metastatic work up then go ahead towards biopsy
3 horas
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2
Vugar Nebi
ABC
3 horas
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Rudy Kwang
Osama Samir Mohamed
only 1% of enchondroma transform to malignant according to WHO tumor. a single enchondroma in phalanx is mostly benign. unless there is presence of angioma of soft tissue which refers to mafucci syndrome, then we need to worry. this is an agressive/atypical type of enchondroma
3 horas
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3
Arnab Sinha
Fnac? ?
3 horas
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Mohamed Amr
No cortical destruction .. its scalloping & expansion ..
Its aggressive type of 2ry ABC
3 horas
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DrBahaa Yahya
No need for MRI I think. Curretage and graft then histology
3 horas
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1
Gamal Abdel
Spins ventouse ""TB of the phase heal bone""
2 horas
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Gamal Abdel
TBOf the phalanx ..spina ventosa
2 horas
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Swapnil Keny
Spina ventosa is a fusiform ballooning of the bone. This is bone destruction with a significant soft tissue shadow on X-ray
One needs an MRI and a Needle biopsy both. If this is a malignant tumour,the treatment is a ray amputation .
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