第5指近位指節骨の巨大内軟骨腫再発：症例報告．

Giant enchondroma recurrence of the proximal phalanx of the fifth finger: a case report.

• Dario Pilla
• Alessandro Geraci
• Lawrence Camarda
• Alberto Ricciardi

抄録

エンコンドロマ（EC）は、良性で軟骨形成性の腫瘍であり、髄内病変を起こす。さらに、ECは手の指骨と中手骨に発生する最も一般的な骨腫瘍であり、構造を変形させ、痛みと機能制限を引き起こす。この新生物の管理は外科的治療であり、よく受け入れられているアプローチは、生物学的または合成フィラーを用いた空隙増大術に続く掻爬術です。手術の結果は通常良好で、再発率は低い（2-15％）。本論文では、手の第5指近位指節骨のEC再発の1例を報告する。柘植手技による第5線の切断術で治療し、満足のいく臨床結果を得た。

Enchondroma (EC) is a benign and cartilage-forming tumor that causes intramedullary lesions. Moreover, EC is the most common bone tumor in the phalanges and metacarpal bones of the hand, deforming the structure and causing pain and functional limitation. The management of this neoplasia is the surgical treatment and the approach that is well-accepted consists in the curettage followed by the void augmentation with biological or synthetic fillers. The results from surgery are usually good and the recurrence rate is low (2-15%). In this article we report a case of EC recurrence of the proximal phalanx of the fifth finger of the hand after curettage and grafting. The patient was treated with the amputation of the fifth ray according to the Tsuge technique, obtaining a satisfying clinical result.

© Dario Pilla et al.