骨旁骨肉瘤:一种良性肿瘤,适合多种手术重建。

IF 1.6 Q4 ONCOLOGY
International Journal of Surgical Oncology Pub Date : 2020-05-28 eCollection Date: 2020-01-01 DOI:10.1155/2020/4807612
Yogi Prabowo, Achmad Fauzi Kamal, Evelina Kodrat, Marcel Prasetyo, Samuel Maruanaya, Toto Suryo Efar
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引用次数: 12

摘要

发生于皮质表面的骨肉瘤分为骨旁肉瘤、骨膜肉瘤和高级别表面骨肉瘤。在光谱上,骨旁骨肉瘤位于分化良好的一端。这是一种相对罕见的疾病,仅占所有骨肉瘤的4%,在文献中几乎没有报道。本研究的目的是描述骨旁骨肉瘤的病例,以及适用于这种实体的各种治疗方案。根据2001年1月至2019年12月在印度尼西亚雅加达一家三级转诊医院的组织病理学报告,确定了6例骨旁骨肉瘤。平均年龄29.8岁;其中男性4例(66.7%)。股骨远端是最常见的受累骨(5例,83.3%)。患者接受广泛切除,然后采用几种不同的重建方法:人工假体置换、体外照射、膝关节置换术或预防性固定。我们的一名患者出现去分化成分,因此接受了肢体消融治疗。其中2例死于肺转移,其他患者报告了良好的功能预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Parosteal Osteosarcoma: A Benign-Looking Tumour, Amenable to a Variety of Surgical Reconstruction.

Parosteal Osteosarcoma: A Benign-Looking Tumour, Amenable to a Variety of Surgical Reconstruction.

Parosteal Osteosarcoma: A Benign-Looking Tumour, Amenable to a Variety of Surgical Reconstruction.

Parosteal Osteosarcoma: A Benign-Looking Tumour, Amenable to a Variety of Surgical Reconstruction.

Osteosarcoma arising from cortical surface is classified into parosteal, periosteal and high-grade surface osteosarcoma. Along the spectrum, parosteal osteosarcoma occupies the well-differentiated end. It is a relatively rare disease entity, comprised only 4% of all osteosarcomas and barely reported in the literature. The objective of this study is to describe cases of parosteal osteosarcoma as well as a variety of treatment options amenable to such entity. Six cases of parosteal osteosarcoma were identified based on histopathological reports in a tertiary referral hospital in Jakarta, Indonesia between January 2001 and December 2019. The mean age was 29.8 years old; four of them (66.7%) were male. Distal end of femur was the most commonly involved bone (five cases, 83.3%). The patients were treated with wide excision followed by several different reconstruction methods: replacement with endoprosthesis, extracorporeal irradiation, knee arthrodesis, or prophylactic fixation. One of our patients presented with dedifferentiated component, and therefore was treated by limb ablation. While two cases died of pulmonary metastasis, other patients reported fair to excellent functional outcome.

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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
5
审稿时长
20 weeks
期刊介绍: International Journal of Surgical Oncology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of surgical oncology.
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