Takada A, Nishida J, Akasaka T, Shiraishi H, Furumachi K, Tajima K, Okada K, Shimamura T
Department of Orthopaedic Surgery, School of Medicine, Iwate Medical University, Morioka, Japan.
J Hand Surg Br. 2005 Aug;30(4):401-5. doi: 10.1016/j.jhsb.2005.03.013.
A recurrence of a juxtacortical chondroma of the finger after marginal excision prompted us to review the treatment of this condition. Although the recommended treatment is simple curettage or marginal excision, the reported recurrence rate is significantly higher for lesions in the hand than those in other locations and recurrences only occurred in patients who had local treatments which did not include excision of the adjacent bone cortex. We report five patients with juxtacortical chondroma of the fingers. The first patient underwent marginal excision without resection of the underlying bone cortex. The other four patients underwent intralesional, marginal or wide excisions of tumour with resection of the bone cortex underlying the lesion. Recurrence was only seen in the patient who did not undergo resection of the bone cortex. Resection of the underlying bone cortex after excision of this tumour may be advisable for the treatment of this tumour in the hand to reduce the rate of recurrence.
手指皮质旁软骨瘤边缘切除术后复发，促使我们回顾这种疾病的治疗方法。尽管推荐的治疗方法是单纯刮除或边缘切除，但据报道手部病变的复发率明显高于其他部位，且复发仅发生在接受不包括切除相邻骨皮质的局部治疗的患者中。我们报告了5例手指皮质旁软骨瘤患者。第一例患者接受了边缘切除，未切除下方的骨皮质。其他4例患者接受了肿瘤的病灶内、边缘或广泛切除，并切除了病变下方的骨皮质。仅在未切除骨皮质的患者中观察到复发。对于手部这种肿瘤的治疗，切除肿瘤后切除下方的骨皮质可能有利于降低复发率。
