Baptista André Mathias, Sargentini Sylvio Cesar, Zumárraga Juan Pablo, Camargo André Ferrari De França, Camargo Olavo Pires De
. Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil.
Acta Ortop Bras. 2016 May-Jun;24(3):151-4. doi: 10.1590/1413-785220162403159158.
To obtain epidemiological data from the tumors of the patella diagnosed and treated at the Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Universidade de São Paulo (IOT-HC-FMUSP) between 1998 and 2015.
Series of cases with retrospective evaluation of patients diagnosed with tumors located in the patella. The data was obtained from the records and patients' charts at the Department of Pathology of IOT-HC-FMUSP.
A total of 2220 medical records from patients with anatomopathological reports were included in the study. Only eight (0.3%) patients had patellar tumors. We found that six (75%) of these were benign, one (12.5%) was a pseudotumoral lesions and one (12.5%) was reported as malignant. Among benign tumors, the giant cell tumor (GCT) was the most frequently reported corresponding to 50% of the cases. Hemagioendothelioma was the only case of malignant tumor in this series. As for the pseudotumoral lesions, we found a brown tumor.
From the data obtained retrospectively in a 17 year time frame, in a service that treats benign, malignant and pseudotumoral bone lesions, we conclude that our casuistry in patellar tumors is similar to that reported in scientific literature, where benign tumors are predominant in a 7:1 ratio over malignant tumors, being a rare location of appearance, with the GCT as the most common diagnosis . Level of Evidence IV, Case Series.
获取1998年至2015年间在圣保罗大学临床医院骨科与创伤研究所(IOT-HC-FMUSP)诊断和治疗的髌骨肿瘤的流行病学数据。
对诊断为髌骨肿瘤的患者进行回顾性评估的病例系列研究。数据来自IOT-HC-FMUSP病理科的记录和患者病历。
本研究共纳入2220份有解剖病理学报告的患者病历。仅有8例(0.3%)患者患有髌骨肿瘤。我们发现其中6例(75%)为良性,1例(12.5%)为假瘤性病变,1例(12.5%)报告为恶性。在良性肿瘤中,巨细胞瘤(GCT)报告最为频繁,占病例的50%。血管内皮瘤是该系列中唯一的恶性肿瘤病例。至于假瘤性病变,我们发现了1例棕色瘤。
从17年时间框架内回顾性获得的数据来看,在一个治疗良性、恶性和假瘤性骨病变的科室中,我们得出结论,我们的髌骨肿瘤病例与科学文献报道的相似,其中良性肿瘤与恶性肿瘤的比例为7:1,是一个罕见的发病部位,GCT是最常见的诊断。证据等级IV,病例系列。