Neyisci Cagri, Erdem Yusuf
Department of Orthopaedics and Traumatology, Gulhane Training and Research Hospital, Ankara, Turkey.
Front Public Health. 2020 Mar 25;8:97. doi: 10.3389/fpubh.2020.00097. eCollection 2020.
Management of musculoskeletal tumors remains challenging for orthopedic surgeons. The aim of this cross-sectional study was to present the prevalence and localization of musculoskeletal disorders diagnosed and treated at a tertiary referral military hospital. A total of 552 patients' medical records who presented to our clinic between 2009 and 2014 with the diagnosis of musculoskeletal tumors were retrospectively analyzed according to age, gender, bone/soft tissue localization, histopathological diagnosis, incidence, and treatment. Of the cases diagnosed with tumor, 225 were soft tissue localized, 317 bone localized, and 10 tumor-like lesions. The most common primary benign soft tissue tumors were lipoma, ganglion, and giant cell tumor of tendon sheath, while the most common malignant soft tissue tumors were liposarcoma and synovial sarcoma, respectively. The most common primary bone tumors were osteochondroma, enchondroma, and simple bone cyst, while the most common malignant bone tumors were osteosarcoma, Ewing sarcoma and chondrosarcoma, respectively. Myositis ossificans was found as the most common tumor-like lesion. Descriptive data in musculoskeletal tumors is crucial in terms of improving treatment and reducing mortality. In this study, no significant difference was found between the data of tertiary military hospital regarding epidemiology of musculoskeletal system tumors and those from the literatures around Turkey.
对于骨科医生而言,肌肉骨骼肿瘤的管理仍然具有挑战性。这项横断面研究的目的是呈现一家三级转诊军事医院诊断和治疗的肌肉骨骼疾病的患病率和发病部位。回顾性分析了2009年至2014年间到我们诊所就诊且诊断为肌肉骨骼肿瘤的552例患者的病历,分析内容包括年龄、性别、骨/软组织发病部位、组织病理学诊断、发病率和治疗情况。在诊断为肿瘤的病例中,225例为软组织发病,317例为骨发病,10例为肿瘤样病变。最常见的原发性良性软组织肿瘤分别是脂肪瘤、腱鞘囊肿和腱鞘巨细胞瘤,而最常见的恶性软组织肿瘤分别是脂肪肉瘤和滑膜肉瘤。最常见的原发性骨肿瘤分别是骨软骨瘤、内生软骨瘤和单纯骨囊肿,而最常见的恶性骨肿瘤分别是骨肉瘤、尤因肉瘤和软骨肉瘤。骨化性肌炎是最常见的肿瘤样病变。肌肉骨骼肿瘤的描述性数据对于改善治疗和降低死亡率至关重要。在这项研究中,这家三级军事医院关于肌肉骨骼系统肿瘤流行病学的数据与土耳其各地文献中的数据之间未发现显著差异。