经皮克氏针治疗小儿肱骨远端干骺端骨折的近期疗效

S. Qureshi, Irfan Ahmad, F. Masood, J. Raza, R. Nadeem, Aliza Nadeem, D. Chaudhary, M. Taqi
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摘要

背景:软组织肉瘤(STS)是发生于间充质组织的恶性肿瘤,占人体所有肿瘤的不到1%,是儿童和青少年中第二常见的实体肿瘤。手术切除被认为是治疗的主要手段,并辅以包括化疗和放疗在内的多模式治疗。资源有限的国家,如巴基斯坦,由于资源不足,面临着额外的挑战。本研究提出的经验管理的软组织肉瘤提出了三级护理医院在拉合尔中部。患者和方法:这是一项观察性研究,于2017年1月至2022年6月在拉合尔Sir Ganga Ram医院第一外科进行。采用美国癌症联合委员会(AJCC)分期系统和美国国家肿瘤控制中心(FNCLCC)切除分类。手术治疗包括R0, R1和R2切除。使用SPSS 23版本对收集到的数据进行统计分析。结果:共36例患者;其中男性24例(66.7%),女性12例(33.3%)。肢体肉瘤23例(63.8%),躯干肉瘤13例(36.1%)。在36例患者中,20例(55.6%)患者分期为II期,11例(30.5%)患者分期为III期,5例(13.9%)患者分期为i期。总共17例(47.2%)患者行广泛切除术,13例(36.1%)患者行有限切除术,4例(11.1%)患者行室间切除术,2例(5.6%)患者行姑息性切除术。结论:大腿是四肢肉瘤最常见的受累部位。腹膜后肉瘤在主干肿瘤中最为常见。平滑肌肉瘤是最常见的组织病理学诊断,其次是恶性周围神经鞘肿瘤。大多数患者表现为II期疾病。关键词:软组织肉瘤,表现,切除,组织学,预后
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Short term outcome of treatment with percutaneous cross Kirschner wires in paediatric distal humeral metaphyseal diaphyseal junction fractures
Background: Soft tissue sarcomas (STS) are malignant tumours arising from mesenchymal tissue, comprising <1% of all the tumours of the human body and represent the second most common type of solid tumours in children and adolescents. Surgical resection is considered the mainstay of treatment, supported by multimodal therapies including chemotherapy and radiotherapy. Resource-limited countries, like Pakistan, face additional challenges due to inadequate resources. This study presents the experience of management of soft tissue sarcomas presenting to a tertiary care hospital in Central Lahore. Patients and Methods: This was an observational study conducted in Surgical Unit I of Sir Ganga Ram Hospital Lahore from January 2017 till June 2022. American Joint Committee on Cancer (AJCC) staging system and Fédération Nationale des Centres de Lutte Contre le Cancer (FNCLCC) resection classification was applied. Surgical treatment including R0, R1 and R2 resections were carried out. SPSS 23 version was used for statistical analysis of collected data. Results: A total of 36 patients; 24 male (66.7%) and 12 females (33.3%) were included. Anatomical site involvement was observed as 23 (63.8%) limb sarcomas and 13 (36.1%) trunk sarcomas. Out of 36 patients, 20 (55.6%) patients were staged as stage II, 11 (30.5%) patients as stage III and 5 (13.9%) as stage I. Total 17 (47.2%) patients underwent wide excision, 13 (36.1%) patients underwent limited excision, 4 (11.1%) patients underwent compartmental excision and 2 (5.6%) patients underwent palliative excision.  Conclusion: Thigh was the commonest site of involvement in extremity sarcomas. Retroperitoneal sarcomas were most frequent among trunk tumours. Leiomyosarcoma was the most common histopathological diagnosis followed by malignant peripheral nerve sheath tumours. Most of the patients presented with stage II disease. Keywords: Soft Tissue Sarcoma, Presentation, Resection, Histology, Outcome
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