Seye S I, Bassene N, Sy H, Camara S, Sow M C, Pouye I
Service d'Orthopédie-Traumatologie, Dakar, Sénégal.
Ann Chir Main. 1988;7(4):322-6. doi: 10.1016/s0753-9053(88)80030-9.
The authors report 5 cases of mycetomas of the fingers observed over a period of 5 years in a series of 18 mycetomas of the hand. In 3 cases, the lesion only involved the soft tissues, which were excised with 2 apparent cures after 2 and 5 years and one recurrence. In the other 2 cases, the bone was invaded and 2 digital amputations were performed without recurrence after 2 and 6 years. The authors review the epidemiology and histopathology of this disease as well as the absence of any truly effective medical treatment. In the presence of bone invasion, only excision can ensure cure.
作者报告了在5年期间观察到的5例手指足菌肿病例，这是一组18例手部足菌肿中的一部分。3例中，病变仅累及软组织，经切除后，2例分别在2年和5年后明显治愈，1例复发。另外2例中，骨骼受到侵犯，进行了2次手指截肢，术后2年和6年无复发。作者回顾了该病的流行病学、组织病理学以及缺乏任何真正有效的药物治疗的情况。在存在骨骼侵犯的情况下，只有切除才能确保治愈。
