Oommen A T, Madhuri V, Walter N M
Department of Orthopedics Unit 2, Christian Medical College, Ida Scudder Road, Vellore - 632004, India.
Indian J Cancer. 2009 Jul-Sep;46(3):234-6. doi: 10.4103/0019-509X.52959.
Benign tumors of the calcaneum are rare. Cystic lesions such as simple bone cysts and aneurysmal bone cysts are commonly seen.
To evaluate tumors of the calcaneum, which were seen over a 12-year period.
We analyzed noninfectious, noninflammatory, benign lesions of the calcaneum seen in the Orthopedic Out Patient Department from 1991 to 2003. Twelve such tumors were encountered. There were 11 males and one female and their ages varied from 18 to 53 years with a median of 31. Data was collected from the histopathology reports, radiographs, and inpatient and outpatient records. One of the coauthors reviewed the histopathologic findings of all the tumors.
Twelve benign lesions were seen in 12 patients. In our series, cysts predominated, with three aneurysmal bone cysts and five simple bone cysts. The other benign tumors were: one fibrous dysplasia, one vascular hamartoma, one osteoblastoma, and one chondromyxoid fibroma. The bone cysts were treated by curettage, with or without bone grafting, except for one large aneurysmal bone cyst, which was treated by excision of the calcaneum. The postoperative function in this patient was good, with modified footwear.
The calcaneum is an uncommon site for most bone tumors, and in our series, bone cysts were the most common benign lesions. Curettage and bone grafting or the use of bone substitutes can be effectively used in the treatment of symptomatic bone cysts of the calcaneum.
跟骨良性肿瘤较为罕见。常见囊性病变,如单纯骨囊肿和骨动脉瘤样囊肿。
评估12年间所见的跟骨肿瘤。
我们分析了1991年至2003年骨科门诊所见的跟骨非感染性、非炎性良性病变。共遇到12例此类肿瘤。其中男性11例,女性1例,年龄从18岁至53岁不等,中位年龄为31岁。数据收集自组织病理学报告、X线片以及住院和门诊记录。一位共同作者复查了所有肿瘤的组织病理学检查结果。
12例患者中发现12处良性病变。在我们的病例系列中,囊肿占主导,有3例骨动脉瘤样囊肿和5例单纯骨囊肿。其他良性肿瘤为:1例骨纤维异常增殖症、1例血管错构瘤、1例成骨细胞瘤和1例软骨黏液样纤维瘤。除1例大型骨动脉瘤样囊肿采用跟骨切除术治疗外,骨囊肿均采用刮除术治疗,刮除时可选择或不选择植骨。该患者术后功能良好,使用了改良鞋具。
跟骨是大多数骨肿瘤的少见发病部位,在我们的病例系列中,骨囊肿是最常见的良性病变。刮除术联合植骨或使用骨替代物可有效用于治疗有症状的跟骨骨囊肿。