Vuba aha, Liu Hucheng, umuyobozi w’ishami ry’amagufwa na Tissue Oncology mu bitaro bya mbere bishamikiye kuri kaminuza ya Nanchang, yarangije “pelvic tumor resection + sacral osteotomy + gusimbuza pelvic + gusimbuza ikibuno + lumbar pedicle screw fixation imbere” hamwe na LDK yihariye ya prothèse pelvic , kandi ibikorwa byagenze neza.
Umurwayi yoherejwe mu bitaro byo hanze kubera kubabara umugongo no kutamererwa neza.Nyuma yo kurangiza ibizamini bifitanye isano n'ikibuno, umurwayi yasabwe ko hashobora kubaho igikomere cya osteo-malignant, ariko ntiyabyitaho, hanyuma ibimenyetso by'ububabare bwe bikomera kandi kugenda kwe bikaba bike.Hanyuma umurwayi yaje mu ishami ry’amagufwa na Soft Tissue Oncology y’ibitaro bya mbere bishamikiye kuri kaminuza ya Nanchang kwivuza.
Nyuma yo kwinjira mu bitaro no kurangiza biopsy yo mu magufwa, umurwayi bamusanganye osteosarcoma.Nyuma yuko gahunda yo kubaga yuzuye yateguwe hamwe n’amashami menshi hanyuma imyiteguro yo kubanziriza gutangira irangiye, itsinda rya Diregiteri Liu Hu Cheng ryakoze “pelvic tumor resection + sacral osteotomy + pelvic gusimbuza + gusimbuza ikibuno + lumbar arch screw fixation imbere” ku murwayi.
Ibisobanuro:
Murebwayire, igitsina gore, imyaka 52
Ikirego:
Amezi arenga 3 nyuma ya chimiotherapie ya pelvic bone osteosarcoma
Tanga amateka y'ubuvuzi ：
Umurwayi yinubiye ko ku ya 2022-10, nta mpamvu igaragara yatumaga ububabare bwo mu mugongo bwongera kugaruka no kutamererwa neza, hamwe no kubabara no kubyimba, biherekejwe n'ububabare bwo mu gice cyo hepfo cy'ibumoso, giherereye mu kibuno cy'ibumoso, ku gice cyo hepfo cy'ibumoso, ku ruhande rw'inyuma. y'ikibero, uruhande rw'inyuma rw'inyana kugera ku kirenge cy'ibumoso, kunanirwa munsi y'ikirenge cy'ibumoso, ububabare bwiyongereye nyuma yo guhagarara umwanya munini no kugenda, kandi byashoboraga koroherwa igihe uruhutse, mu gihe nta kwitabwaho, hanyuma ibimenyetso by'ububabare byatangiye kwiyongera kandi ntibishobora kugenda.
MRI yatanze igitekerezo: 1) ikimenyetso kidasanzwe cy'amagufwa y'ibumoso ya iliac, urebye bishoboka ko habaho ibisebe bibi;2) umubare muto w'amazi mu kibuno cy'ibumoso.Nta buvuzi bwihariye bwatanzwe, none umurwayi yinjiye mu bitaro kugira ngo akomeze kuvurwa.
Kwipimisha kwa muganga ：
Kwinjira "Nyuma ya chimiotherapie myelosuppression"
Uburyo buteganijwe ni "pelvic tumor resection + sacral osteotomy + gusimbuza pelvic + gusimbuza ikibuno + gukosora imbere hamwe na pedicle screw"
Ingero zoherejwe kugirango zisuzumwe：
Ikibyimba cy'ibumoso cyoherejwe cyo kwisuzumisha: ingirangingo z'amagufwa zidafite ishusho, ubunini bwa cm 19.5X17X9, hamwe n'imitsi y'imitsi ifatanye, ubunini bwa cm 16.5X16X3.5, ibice byinshi, cm 1.5 uvuye kuri cautery, misa yagaragaye mu mitsi y'imitsi , ubunini bwa 8X6.5X4.5 cm, imvi zijimye-umutuku, zikomeye, kandi zidasobanuwe neza hagati yumwanya wibanze hamwe nuduce twamagufwa.
Ibibyimba bya sciatic nervice yibibyimba: ibara ryumutuku-ritukura ridafite ishusho, ubunini bwa 9.5X3X3m, imvi-yera yera-umutuku-umutuku utoroshye hejuru yaciwe.
Microscopically, ikibyimba cyerekanaga ikwirakwizwa rya lamellar rikomeye, ryibasira fibrofat ya periferique, imitsi ihinduranya imitsi hamwe nuduce twinshi, hamwe na selile zifite imiterere idasanzwe, nucleoli igaragara, byoroshye kubona sikizofreniya ya kirimbuzi, heterotypes igaragara hamwe na necrosis nyinshi.
Kwipimisha indwara ：
.
Gutanga amanota ya Huvos: icyiciro cya II (chimiotherapie yoroheje yoroheje,> 50% ikibyimba cya tissue necrosis, ikibyimba kibaho).
Tissue cautery margin: nta ruhare rwibisebe rwagaragaye.
. MP IMP3 (+) ； MDM2 (+) ； P16 (+) ； S-100 (itatanye +) ； H3.3G34W (-) ； Brachyury (-) ； Desmin (-) ； CD68 (-)。
Gahunda yo kubaga ：
Ikibyimba cya pelvic resection + sacral osteotomy + gusimbuza pelvic + gusimbuza ikibuno + lumbar pedicle screw imbere imbere
Mbere yo gutangira
Nyuma yo kubagwa
Intangiriro yo kubaga
Prof. Hucheng Liu
Ibitaro byambere bishamikiye kubitaro bya orthopedic bya kaminuza ya Nanchang
Umuyobozi, Ishami ryamagufa na Tissue Tissue Oncology
Umuganga mukuru, Umwarimu wungirije, Umuyobozi wa Master
Umuyobozi w'itsinda ry'amagufwa na Soft Tissue Tumor, Ishami rya orthopedie, Ishyirahamwe ry'ubuvuzi rya Jiangxi
Visi Perezida wa Bone na Tissue Tissue Tumor ya Komite y'Abaganga ba Jiangxi ishami rya orthopedic
Igihe cyo kohereza: Apr-26-2023