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跟骨原发性肿瘤

Primary tumours of the calcaneus.

作者信息

Yan Litao, Zong Junwei, Chu Jin, Wang Wendong, Li Mingshu, Wang Xianfeng, Song Mingzhi, Wang Shouyu

机构信息

Department of Orthopaedics, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, P.R. China.

Department of Ophthalmology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, P.R. China.

出版信息

Oncol Lett. 2018 Jun;15(6):8901-8914. doi: 10.3892/ol.2018.8487. Epub 2018 Apr 13.

Abstract

The calcaneus is a rare location for the occurrence and development of primary tumour types. Clinicians are unfamiliar with calcaneal tumour types, which may result in a delay in diagnosis or a missed diagnosis, resulting in unnecessary morbidity and amputation. Heel pain and localized swelling of the ankle are the most common symptoms. X-ray is the first choice for a tentative diagnosis of a calcaneal tumour. The final diagnosis depends on a histological examination. The treatment of calcaneal tumour types varies depending on the Enneking system. The majority of patients with benign tumours heal, except for a few with a palindromia. For malignant tumours, the prognosis is comparatively poor, resulting in disability and a high rate of metastasis. This review describes the spectrum of calcaneal tumour types and specifically illustrates the epidemiology, symptomatology, imagology, histopathology and treatment options that may facilitate diagnosis and improve prognosis.

摘要

跟骨是原发性肿瘤类型发生和发展的罕见部位。临床医生对跟骨肿瘤类型不熟悉,这可能导致诊断延迟或漏诊,从而造成不必要的发病率和截肢。足跟痛和踝关节局部肿胀是最常见的症状。X线是跟骨肿瘤初步诊断的首选。最终诊断取决于组织学检查。跟骨肿瘤类型的治疗根据Enneking系统而有所不同。大多数良性肿瘤患者可治愈,少数患有复发性疾病的患者除外。对于恶性肿瘤,预后相对较差,会导致残疾和高转移率。本综述描述了跟骨肿瘤类型的范围,并具体阐述了可能有助于诊断和改善预后的流行病学、症状学、影像学、组织病理学及治疗选择。

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