FIBROUS DYSPLASIA: CASE PRESENTATION- At Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh

8/9/2019 FIBROUS DYSPLASIA: CASE PRESENTATION- At Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh.

1/46

NyLr. Al @jzruc OscjaANNX, A.sh. (Nod-ablohjc B`eo`bbro`e).

J hjsb ^bpdrt


2/46

Vjrtohucjrs dg tmb

pjtob`t

@jab9 ^jnouc Oscja

Jeb9 >6 ybjrs

Eb`lbr9 Ajcb

Jllrbss9 Gucnjroj, Nderj

Dhhupjtod`9 Cjndur

Ajrotjc stjtus9 Ajrrobl

^bcoeod`9 Auscoa

Ljtb dg jlaossod`9:5.6?.6?

Ljtb dg bxjao`jtod`9:5.6?.6?


3/46

Hmobg hdapcjo`ts

Vjo` & lbgdraoty jt tmb roemt uppbr tmoem gdr 5ad`tms gdccdwo e j trjuaj.

Erjlujc smdrtbòè dg tmb roemt cdwbr coan wotm

loggohucty o` wjckoè gdr 7 ad`tms.


4/46

Mostdry dg prbsb`t

occ`bss

Jhhdrloè td tmb stjtbab`t dg tmb pjtob`t, mb wjs

rbjsd`jncy wbcc 5 ad`tms njhk, tmb` sullb`cy mb gbctldw` d` tmb erdu`l ny jhholb`tjc trjuaj.

Mb hducl wjck gdccdwoè trjuaj wotmdut suppdrt, jgtbr

wmohm mb `dtohbl aocl, goxbl jhmoè pjo` o` tmb roemt

uppbr tmoem wmohm wjs `dt jssdhojtbl wotm gbvbr,`d`-rjlojtoè & jeerjvjtbl luroè wjckoè &

o`hdapcbtbcy rbcovbl ny tjkoè sdab pjo` koccbrs.


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6/46


7/46

Mostdry dg pjst occ`bss

Mb mjl `d mostdry dg tunbrhucdsos.

Mb os `d` Lojnbtoh


8/46

Gjaocy mostdry

@d`b dg mos gjaocy abanbr suggbrbl

grda suhm occ`bss.

Vbrsd`jc mostdry

Mb os `dt sadkbr


9/46

Xdhod-bhd`daoh

Cdwbr aollcb hcjss gjaocy

Oaauòzjtod` mostdry

Oaauòzbl jejo`st tunbrhucdsos

& tbtjùs

Lrue mostdry

M/D tjkoè @XJOLs td rbcobvb pjo`


10/46

Eb`brjc bxjao`jtod`

Jppbjrj`hb9 Occ cddko`e

Ndly nuoct9 Jvbrjeb

Hd-dpbrjtod`9 Hd-dpbrrjtovb

Lbhunotus9 D` hmdohb

J`jbaoj9 Jnsb`t

Iju`lohb9 Jnsb`t

Hyj`dsos9 Jnsb`t

Dblbaj 9 Jnsb`t

\bapbrjturb9 `drajc


11/46

Eb`brjc bxjao`jtod`..hd`t.

Vucsb9 57 nts/ao`

Ncddl prbssurb9 ::6/56 aa dg Me

^bsporjtdry rjtb9 :7 /ao` Lbmylrjtod`9 @d soe`

Kdocd`yhmoj9 Jnsb`t

Cbukd`yhmoj9 Jnsb`t

Hcunno`e9 Jnsb`t

@bhk vbo`9 @dt b`edrebl IWV9 @dt rjosbl

Cyapm `dlbs9 @dt pjcpjncb

\myrdol ecj`l9 @dt pjcpjncb

Xko` poeab`tjtod`9 Jnsb`t


12/46

Cdhjc bxjao`jtod`9 (ôemt Rppbr

tmoem)Cddk9

J` occ lbgo`bl lbgdraoty dhhupyoè jt tmbsupbrd-cjtbrjc jspbht dg tmb uppbr roemt tmoemwotm hd`vbxoty j`tbrd-cjtbrjccy.

Xko` dvbr tmb lbgdrabl jrbj os `drajc

Wjrus lbgdraoty dg mop wotm smdrtbòè dg tmbcdwbr coan.

R`jncb td wjck wotmdut suppdrt.

Ujstoè dg tmb tmoem, & ecutbjc aushcbs

@d bèdrebl vbo`.


13/46

Cdhjc bxjao`jtod`9 (ôemt Rppbr tmoem)

Gbbc9\mbrb os j` orrbeucjr, bxpj`lbl nd`y lbgdraotywotm hd`vbxoty j`tbrd-cjtbrjccy bxtb`loè grdatmb mop td suntrdhmj`tbroh jrbj. cdhjctbapbrjturb `drajc, aocl tb`lbr`bss prbsb`t,

dvbr cyoè sko` os grbb.Xmdrtbòè dg coan - ? ha.

Aushcb wjstoè-

Ecutbjc - < ha.

\moem< ha.Cbe8 ha

Lostjc `burdvjshucjr stjtus `drajc

^beod`jc cyapm `dlbs `dt b`cjrebl.


14/46

Cdhjc bxjao`jtod`9 (^oemt Rppbr tmoem)

Advbab`t9

wjck wotm suppdrt.

\rb`lbcb` Nures tbst pdsotovb ^oemt Mop (^DA)

Gcbxod` 6-:666 [`drajc 6-:>66Q

Bxtb`sod` 6-26 [`drajc 6->66Q

Jnluhtod` 6-26 [`drajc 6-26Q

O`tbr`jc rdtjtod` jt ?6

6

gcbxod` 6->6

6

[6-


15/46

Xystbaoh bxjao`jtod`9

Cdhdadtdr systba

Ejot9Hj` wjck wotm suppdrt

O`spbhtod`9Wjrus lbgdraoty - roemt mop

Vjcpjtod`9\b`lbr`bssjggbhtbl jrbj

Xpo`b9 @drajc


16/46

@brvdus systba bxjao`jtod`

Moembr psyhmoh gu`htod`9 @drajc

Hrj`ojc `brvb bxjao`jtod`9 @drajc

Adtdr gu`htod`9

O`spbhtod`9Erdss Aushcb wjsto`e o` roemtmop, tmoem & cbe


17/46

Vjcpjtod`9Nuck dg aushcb9Ujsto`e Mop-


18/46

@brvdus systba

bxjao`jtod`hd`t.

Vdwbr9 [A^H shjcbQ

Mop (rt.)9

bxtb`sdr- > o`tbr`jc rdtjtdr- 6 ybjrs dcl aj`, hdaoè

grda Gucnjroj, Njeurj jlaottbl o` Xmjmbbl

Xumrjwjrly Ablohjc Hdccbeb Mdspotjc wotm tmb

hdapcjo`ts dg pjo` & lbgdraoty jt tmb rt. Rppbr

tmoem gdccdwoè j aocl jhholb`tjc trjuaj 5 ad`tms

njhk & erjlujc smdrtbòè dg rt. Cdwbr coan wotm

loggohucty o` wjckoè gdr 7 ad`tms.


24/46

Xjcob`t gbjturb.hd`t.

\mb pjo` wjs aocl , goxbl, `d` rjlojtoè, jhmoè o``jturb wmohm wjs `dt jssdhojtbl wotm gbvbr,

jeerjvjtbl luroè wjckoè & o`hdapcbtbcy rbcovbl

ny tjkoè @XJOLs.

Mb jcsd `dtohbl j nb`loè lbgdraoty o` supbrd-cjtbrjc jspbht dg roemt tmoem wmohm wjs erjlujccy

o`hrbjsoè o` sozb hjusoè smdrtbòè dg tmb

jggbhtbl coan


25/46


Dtmbr pjrts dg tmb ndly wbrb `drajc wotm `d

mostdry dg wboemt cdss dr j`drbxoj. `d`b dg mosgjaocy abanbr suggbrbl grda suhm occ`bss.

D` eb`brjc bxjao`jtod`, tmb pjtob`t os occ-

cddko`e, `dt j`jbaoh, `d` ohtbroh, `dradtmbraoh,

`dradtb`sovb & sko` poeab`tjtod` os jnsb`t.


26/46


D` cdhjc bxjao`jtod`, j` occ lbgo`bl, aoclcy pjo`gucndwoè lbgdraoty wjs sbb` dhhupyoè jt tmb supbrd-

cjtbrjc jspbht dg tmb roemt tmoem wotm hd`vbxoty j`tbrd-

cjtbrjccy bxtb`loè grda tmb mop td suntrdhmj`tbroh

jrbj wotm Hdxj Wjrj. Dvbrcyoè sko` & cdhjctbapbrjturb wjs `drajc.


27/46


Xmdrtbòè dg tmb coan wjs gdu`l ? ha tmj` tmb cbgt.

Mb wjs u`jncb td wjck wotmdut suppdrt.

\mbrb wjs erdss aushcb wjstoè o` rt. Cdwbr coan,

abjsuroè ecutbjc- < ha, tmoem-


28/46


Lostjc `burdvjshucjr stjtus wjs `drajc &

^beod`jc cyapm `dlbs wbrb `dt b`cjrebl.\rb`lbcb` Nurestbst wjs pdsotovb wotm rbluhbl

^j`eb dg advbab`t (^DA) o` mop o` jcc

lorbhtod`. ^DA dg k`bb & j`kcb wjs `drajc.

\mb spo`b wjs `drajc. Dtmbr systbaohbxjao`jtod` rbvbjcs `d jn`drajcoty.


29/46


30/46

Loggbrb`tojc loje`dsos

Eoj`t hbcc tuadr

B`hmd`lrdajJ`burysajc Nd`b Hyst

Nrdw` tuadr


31/46

O`vbstoejtod`s

:. ]-^jy roemt tmoem wotm mop J/V & cjtbrjc vobw9

Xmdws Xmbpmjrls hrddk lbgdraoty (`bhk-smjgtjècb9 ?66) wotm auctopcb dstbdcytoh cbsod`s

o`vdcvoè pjrt dg tmb `bhk, trdhmj`tbroh &

suntrdhmj`tbroh jrbj, wotm tmo`òè dg hdrtohjc

nd`b & cuhb`t pjthmbs typohjccy mjzy, cddks cokberdu`l-ecjss jppbjrj`hb wotm pjtmdcdeohjc

grjhturb jt tmb suntrdhmj`tbroh rbeod`.


32/46

Goe9 ]-^jy roemt tmoem wotm mop J/V & cjtbrjc

vobw


33/46

O`vbstoejtod`s

Ncddl gdr

\H dg UNH ?,666 / hu aa

LH dg UNH

@ 27% N 6%

C>7% A 2%

B ea / lc

Rro`b ^AB

@drajc stuly H]^-V/J vobw@drajc Hmbst skojerja

A\@dt soe`ogohj`t

^NX 57 aea / lc


34/46

O`vbstoejtod`s

X. hrbjto`o`b6.? aea/ lc

Ncddl urbj86 aea / lc

X. hjchoua? aea / lc

X. jckjco`b pmdspmjtbs::6 OR/ C

G@JH @d ajcoe`j`t hbcc gdu`l,

d`cy hbccucjr gonrdus tossub prbsb`t.


35/46

Ad`dstdtoh gonrdus lyspcjsojwotm XmbpmjrlsHrddk

lbgdraoty o` uppbr b`l dg roemtgbaur wotm pjtmdcdeohjc

grjhturb

Hd`gorajtdry loje`dsos


36/46

\rbjtab`t

\mos pjtob`t wjs u`lbr ed`b gdr sureohjc

trbjtab`t d` :5-:6-6?

Vrdhblurb9

\mrduem cjtbrjc jpprdjhm uppbr b`l dg tmb gbaur wjs

bxpdsbl Dutbr pjrt dg tmb prdxoajc gbaur wjs sd tmo` tmjt ot

`bbls cottcb bggdrt td hurjtb tmb hystoh jrbjs hjrbguccy.


37/46

\rbjtab`t.hd`t.

Vrdhblurbhd`t.9

Jgtbr hurbttjeb vjceus wbleb dstbdtday wjsld`b jt suntrdhmj`tbroh rbeod` td hdrrbhtlbgdraoty, ajssovb orrjlojtbl jccderjgt wotmgonucjr jutd erjgt wjs jppcobl td b`mj`hbmbjco`e & o`hdrpdrjtod` dg tmb hystoh nd`y

cbsod` & grjeab`ts wbrb goxbl wotm prdxoajcgbadrjc o`tbrcdhko`e `joc (VG@).


38/46

\rbjtab`t.hd`t.

Vrdhblurbhd`t.9 Udu`l wjs hcdsbl o` cjybrs ny kbbpo`e j lrjo`

o`solb, wmohm wjs rbadvbl jgtbr


39/46

Mostdp-jtmdcdeohjc ^bpdrt

Xmdws cddsb hbccucjr gonrdustossub wotm wolb sprbjl pjthmbs dg

oaajturb nd`b - Xueebstovb dg

Gonrdus lyspcjsoj.


40/46


41/46

Goe9 Vdst dpbrjtovb pbrodl


42/46


43/46

Goe9 Vrbdpbrjtovb ]-rjy `d :5.6?.6?


44/46


45/46

Goe9 Vdst dpbrjtovb ]-rjy ^t. Rppbr Gbaur

D` :6tmVDL Jgtbr 5 wbbks


46/46

Goe9 Vdst dpbrjtovb ]-rjy ^t. Rppbr Gbaur

Jgtbr 8 ad`tmsJgtbr < ad`tms

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FIBROUS DYSPLASIA: CASE PRESENTATION- At Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh