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骨尤文肉瘤主要见于青少年,而3岁以下的婴幼儿罕见。尤文肉瘤研究协作小组(IESS)所记载的374例病人中,1岁的3例,不足1岁的2例(包括本例)。病例5.5月女孩,白种人,1978年4月入院。患儿为足月产儿,母孕期无合并症。生后2个月时左下肢活动困难,怀疑左股骨骨折,未治疗,一周后恢复,1978年1月,发现左股骨前侧面有一肿物,后2个月增大到高尔夫球大小,在院外活检诊断为尤文肉瘤。查体:患儿活泼、机灵,双下肢活动无困难。发育营养中等,体重和身高都在第25百分位数内。左股骨近端后侧面有肿胀,余均正常。初次活检前,骨X
Ewing’s sarcoma of the bone is mainly seen in adolescents, while infants under 3 years of age are rare. Of the 374 patients recorded in the Ewing’s Sarcoma Research Collaborative Group (IESS), 3 were 1 year old and 2 were less than 1 year old (including this case). Case 5.5 girls, Caucasian, admitted to hospital in April 1978. The children are full-term babies and there are no complications during pregnancy. At 2 months after birth, the activity of the left lower extremity was difficult. A fracture of the left femur was suspected. He was untreated and recovered after one week. In January 1978, a mass was found on the anterior side of the left femur and increased to the size of the golf ball 2 months later. The biopsy was diagnosed as Ewing’s sarcoma. Physical examination: The children are lively and clever, and there is no difficulty in the activities of the lower limbs. Developmental nutrition is moderate, weight and height are within the 25th percentile. The proximal femoral side of the left femur was swollen and the rest was normal. Before the initial biopsy, bone X