Rabarin F, Laulan J, Saint Cast Y, Césari B, Fouque P-A, Raimbeau G
Centre de la main, Angers assistance main, 47, rue de la Foucaudière, 49800 Trélazé, France.
Département de chirurgie de la main, CHU Trousseau, 37044 Tours cedex, France.
Orthop Traumatol Surg Res. 2014 Oct;100(6):617-20. doi: 10.1016/j.otsr.2014.05.014. Epub 2014 Aug 27.
Periosteal chondroma is a benign cartilaginous tumour that is less common than enchondroma and rarely arises at the hand.
We report a retrospective review of 24 patients with focal periosteal chondroma of the hand and a mean follow-up of seven years and four months. The 13 females and 11 males had a mean age of 41 years and three months.
Radiographs performed to investigate a hard lump on a finger established the diagnosis in 23 (95.8%) patients, and histological documentation was obtained consistently. The proximal and distal phalanges were the most common sites of involvement. The tumour recurred in a single patient, a 10-year-old child, 10 months after surgery.
No other complications were recorded. Tumour excision and curettage of the lesion are the suggested treatments for periosteal chondroma. Most recurrences occur early after initial surgery.
Level IV.
骨膜软骨瘤是一种良性软骨肿瘤，比内生软骨瘤少见，很少发生于手部。
我们对24例手部局限性骨膜软骨瘤患者进行了回顾性研究，平均随访7年4个月。13名女性和11名男性的平均年龄为41岁3个月。
为检查手指上的硬块而进行的X线片检查在23例（95.8%）患者中确诊，且均获得了组织学记录。近端和远端指骨是最常受累的部位。一名10岁儿童患者在术后10个月肿瘤复发。
未记录到其他并发症。建议对骨膜软骨瘤采用肿瘤切除及病灶刮除术治疗。大多数复发发生在初次手术后早期。
四级。
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