The ankle pain turned out to be a bone tumor and the surgeon was able to reshape it

2022-06-09 0 By

Sunshine news (reporter Zhang Hua) this year 26 years old small liu right ankle pain has half a year time, always think is too overworked, after a little rest can alleviate, did not take seriously.It came to her attention when, during a recent business trip, her ankle pain worsened to the point that she couldn’t walk.Upon his return, he rushed to the Department of Orthopedics of the First Affiliated Hospital of Xi ‘an Medical University.The ankle pain turned out to be a bone tumor. After completing relevant examinations, orthopedic surgeons initially diagnosed a giant cell tumor of the distal right tibia.”The tumor……”She couldn’t believe she had a tumor so young, and it could metastasize and turn malignant.After a brief psychological adjustment, she accepted the doctor’s recommendation to be hospitalized.Sun Fu, deputy chief physician of the Department of Orthopedics of the First Affiliated Hospital of Xi ‘an Medical College, made a detailed report on liu’s condition. After a detailed discussion by the team, Zhao Xiaoguang, director of the department, believed that the distal tibia of the patient was destroyed by tumor cells, resulting in the bone of the tibial side of the ankle joint has been completely destroyed, and it is difficult to retain the ankle joint.However, the patient was only in her 20s, and an intact ankle was crucial to her quality of life. It was decided to preserve ankle function as much as possible on the premise of complete removal of tumor lesions.Removal of bone neoplasms and ankle reconstruction after a detailed surgical plan was developed, the operation began.During the operation, Director Zhao Xiaoguang and deputy chief physician Sun Fu worked closely to remove and peel the tumor tissue along the edge of the tumor, and the process was very smooth.When everyone was ready to breathe a sigh of relief, it was found that the bone of the distal tibia of Xiao Liu’s ankle joint was completely invaded by tumor tissue. After the tumor tissue was cleaned up, only a thin layer of cartilage was left on the joint, and this layer of cartilage would collapse with a slight pressure, and it was impossible to walk with weight.Experienced director Zhao Xiaoguang skillfully filled the joint with bone cement and made a bone cement joint surface. The joint was in good shape by fluoroscopy and the operation ended smoothly.Postoperative radiographs showed that the tumor lesion of the distal tibia was cleared, the bone cement was well filled and the position was stable.Xiao Liu’s right lower limb function recovered well, ankle pain disappeared.Weight-bearing walking was started one month after surgery, and the reexamination results showed no signs of bone tumor recurrence.What is giant cell tumor of bone?Giant cell tumor of bone is one of the most common primary bone tumors.This disease comes on in 20 ~ 50 years old more, female is higher than male.The primary place of bone giant cell tumor happens in epiphysis more often, invade and stem epiphysis end gradually along with the enlargement of focus.Giant cell tumors of bone mostly invade long bones, most of which are the lower end of femur and the upper end of tibia.The tumor is highly invasive and has a great dissolution and destruction effect on bone. Very few of them have the tendency of reactive new bone formation and self-healing, and can pass through the bone cortex to form soft tissue masses. The recurrence rate after curettage is high, and a few of them may have local malignant transformation or lung metastasis.Giant cell tumors of bone are low-grade or potentially malignant tumors.What does bone giant cell tumour main clinical expression have?The main clinical manifestations of giant cell tumor of bone are pain or dull pain, occasionally severe pain and night pain, which are the main reasons for patients to seek medical treatment.Some patients have local swelling, which may be related to bone swelling.When the lesion penetrated the bone cortex and invaded the soft tissue, the local mass was obvious.Patients often have tenderness and increased skin temperature, which is one of the basis for judging postoperative recurrence.The joint movement of the adjacent lesion was limited.Trunk bone produces tumor, can produce corresponding symptom, if bump before sacral can oppress sacral plexus nerve, cause acute pain, oppress rectum causes defecate difficulty to wait.The main points of diagnosis of giant cell tumor of bone are as follows: clinically related joint pain, swelling, pain and dysfunction occur when the tumor approaches the joint cavity;X-ray findings showed that the lesion was located in the epiphysis, showing eccentric, lytic, and expansive bone destruction, with clear boundaries, sometimes showing soap-like changes, and mostly obvious encapsulation.Histopathological examination revealed that the tumor was composed of dense mononuclear cells of uniform size and a large number of multinucleated giant cells distributed in various parts. Spindle fibroblasts and round histiocytoid cells were distributed in the stroma.Editor: Wenwen