Garcia Jairo Greco, Martinez Adriano, Filho Reynaldo Jesus Garcia, Petrilli Marcelo Toledo, Viola Dan Carai
Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Rev Bras Ortop. 2017 Dec 6;53(1):33-37. doi: 10.1016/j.rboe.2017.11.004. eCollection 2018 Jan-Feb.
Describe the epidemiological profile of patients with primary or secondary neoplastic lesions in the pelvis who required a surgical procedure such as hemipelvectomy.
This study retrospectively evaluated 69 patients located in the database of a São Paulo educational institution, subject to surgical hemipelvectomy treatment between January 1990 and December 2013. All patients had previous diagnosis of bone tumor (primary or metastatic) in the pelvis (ilium, ischium, pubis, and/or sacrum).
Analyzing the data obtained in this study, it was observed that these are partly similar to those found in the literature, with primary bone malignancies as the main diagnosis; general injuries affecting the pelvic area I (pelvic bone) and its most frequent complication, infection. The differences are mainly due to rarity of the bone tumors evaluated in this study, and the type of surgical procedure in question, which is even more unusual.
Building a picture that conveys the reality of each diagnosis and that indicates which characteristics of these patients would better resemble an absolute or relative indication for the realization of hemipelvectomy is harder by the rarity of these cases.
描述需要进行诸如半骨盆切除术等外科手术的骨盆原发性或继发性肿瘤性病变患者的流行病学特征。
本研究回顾性评估了位于圣保罗一家教育机构数据库中的69例患者，这些患者在1990年1月至2013年12月期间接受了半骨盆切除手术治疗。所有患者此前均被诊断为骨盆（髂骨、坐骨、耻骨和/或骶骨）骨肿瘤（原发性或转移性）。
分析本研究获得的数据发现，这些数据部分与文献中的数据相似，主要诊断为原发性骨恶性肿瘤；影响骨盆区域I（骨盆骨）的一般性损伤及其最常见的并发症感染。差异主要归因于本研究中评估的骨肿瘤罕见，以及所讨论的手术类型更为罕见。
由于这些病例罕见，要构建一幅能传达每种诊断的实际情况并表明这些患者的哪些特征更符合进行半骨盆切除术的绝对或相对指征的图景更加困难。
