RESUMO
We report a case of chondroblastoma involving the upper tibial epiphysis, which had an unusually aggressive course, with articular involvement at initial presentation. Intra-articular and soft tissue recurrence occurred after treatment consisting of curettage and bone grafting. Although the incidence of local intraosseous recurrence of chondroblastoma is relatively high, intra-articular and soft tissue implantation is rare and is usually due to intra-articular spillage during surgery. Spontaneous articular involvement is rarely seen.
Assuntos
Neoplasias Ósseas/patologia , Condrossarcoma/patologia , Tíbia , Adolescente , Neoplasias Ósseas/cirurgia , Condrossarcoma/cirurgia , Curetagem , Epífises/patologia , Humanos , Articulação do Joelho , Masculino , Recidiva Local de Neoplasia , Inoculação de Neoplasia , Neoplasias de Tecidos Moles/patologiaRESUMO
UNLABELLED: Schönlein-Henoch purpura is a systemic vasculitis involving primarily the skin, musculoskeletal system, gastro-intestinal tract, and kidneys. The purpose of this paper was to report the first described pediatric case, to our knowledge, of adrenal hemorrhage occurring in Schönlein-Henoch purpura. CASE REPORT: Our patient was a 12 year-old girl who presented a right adrenal hematoma diagnosed following an episode of acute right flank pain, ten days prior to the appearance of the clinical symptoms of Schönlein-Henoch purpura. CONCLUSION: We think that Schönlein-Henoch purpura should be included in the diagnosis of adrenal hematomas.
