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Pelvic pseudotumour caused by total hip arthroplasty wear debris : a case report = Z nekrotičnim drobirjem povzročen medenični psevdotumor po totalni artroplastiki kolka : poročilo o primeruDovnik, Andraž ...Uvod. Polietilenski drobir, ki nastaja po vstavitvi totalne kolčne endoproteze, lahko povzroči tujkov granulom, ki po svojem videzu in simptomih kompresije sosednjih struktur spominja na maligni ... tumor. Namen. Predstavljamo primer bolnika, pri katerem se je kot pozen zaplet vstavitve popolne kolčne endoproteze razvila velika medenična cista, ki mu je povzročala bolečine, izgubo mišične moči in hipestezijo v poteku levega femoralnega živca. Poročilo o primeru. 45-letnega bolnika smo obravnavali 13 let po vstavitvi popolne brezcementne kolčne endoproteze zaradi vse hujših bolečin, izgube moči in občutka v levem stegnu. Računalniška tomografija spodnjega dela trebuha in medenice je pokazala veliko cisto, ki je bila suspektna za malignom. Citopatološka preiskava tekočine, pridobljene z aspiracijo, je pokazala nekrotični drobir in polirazirajoče delce brez malignih celic. Sledila je operacija v dveh korakih, pri kateri smo najprej odstranili cisto, štiri tedne pozneje pa opravili revizijsko artroplastiko. Histološki pregled reseciranega tkiva je pokazal granulacijsko tkivo tujkovega tipa s črnim pigmentom, številnimi histiociti in polarizirajočimi polietilenskimi delci. Po operaciji so bolnikove težave postopno izzvenele. Zaključek. Pri sledenju bolnikov po artroplastiki kolka moramo biti pozorni na simptome in znake morebitne tumorske mase. itološka in histološka preiskava sta bistvenega pomena za razlikovanje tujkovega granuloma od malignega tumorja.Source: Novosti v citopatologiji : most med kliniko in diagnostično patologijo = Advances in cythopathology : bridge between clinics and diagnostic pathology (Str. 227-230)Type of material - conference contribution ; adult, seriousPublish date - 2012Language - englishCOBISS.SI-ID - 4514111
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Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Dovnik, Andraž | 37711 |
Repše-Fokter, Alenka | 23551 |
Fokter Dovnik, Nina | 37569 |
Fokter, Samo K. | 19382 |
Source: Personal bibliographies
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