Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Rhabdomyosarcoma Following Traumatic Injury

외상 후 발생한 횡문근육종

  • Kwon, Dae Gyu (Department of Orthopedic Surgery, College of Medicine, Inha University) ;
  • Park, Sung Jun (Department of Orthopedic Surgery, College of Medicine, Inha University) ;
  • Yoon, Young Hoon (Department of Orthopedic Surgery, College of Medicine, Inha University) ;
  • Lee, Tong Joo (Department of Orthopedic Surgery, College of Medicine, Inha University)
  • 권대규 (인하대학교 의과대학 정형외과학교실) ;
  • 박성준 (인하대학교 의과대학 정형외과학교실) ;
  • 윤영훈 (인하대학교 의과대학 정형외과학교실) ;
  • 이동주 (인하대학교 의과대학 정형외과학교실)
  • Received : 2019.06.14
  • Accepted : 2019.07.09
  • Published : 2020.06.30
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Abstract

Trauma is frequently implicated in the development of sarcomas, including rhabdomyosarcoma. Rare soft tissue sarcomas have been reported to arise in scar tissue following surgical procedures or thermal or acid burns, at fracture sites, and in the vicinity of plastic or metal implants, usually after a latent period of several years. The authors encountered a case of a rhabdomyosarcoma arising from the forearm crushed by a conveyor belt 11 years ago. Several possible etiological factors for sarcoma development were identified in this patient, including tissue damage and inflammation, as well as the presence of metal implants and the limb's exposure to radiation during multiple imaging tests. After severe soft tissue damage, the occurrence of a sarcoma should be considered and more attention should be paid to the causative factors for sarcoma.

외상은 횡문근육종을 포함한 일부 육종의 발생에 영향을 미친다고 알려져 있고 수술 후 반흔이나 화상 흉터, 골절 부위, 금속 내고정물 주위에서 수년 간의 잠복기를 거쳐 육종을 일으킨 사례들이 드물게 보고되고 있다. 저자들은 컨베이어 벨트에 의해 압궤상을 입은 전완부에 11년 뒤 발생한 횡문근육종의 사례를 경험하였다. 조직 손상으로 인한 염증 반응, 많은 방사선 촬영에 대한 노출, 금속 내고정물, 감각 및 운동 마비로 인한 무의식적이고 반복적인 손상이 육종의 발생에 영향을 미쳤으리라고 생각된다. 이러한 광범위한 조직 손상 후에는 육종 발생 가능성을 염두에 두고 육종 유발 요인에 대한 노출에 주의를 기울여야 하겠다.

Keywords

Acknowledgement

본 논문은 2019년도 인하대학교 연구비 지원을 받아 이루어졌음.

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