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距骨内肿瘤及肿瘤样病变的诊治与回顾性分析

Management and retrospective analysis of tumors and tumor-like lesions localized in the talus.

机构信息

SBÜ Dr. Abdurrahman Yurtaslan Onkoloji Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, 06105 Yenimahalle, Ankara, Türkiye.

出版信息

Jt Dis Relat Surg. 2021;32(1):218-223. doi: 10.5606/ehc.2021.78769. Epub 2021 Jan 6.

DOI:10.5606/ehc.2021.78769
PMID:33463440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8073425/
Abstract

OBJECTIVES

This study aims to investigate the characterization and follow-up results of tumors and tumor-like lesions in the talus.

PATIENTS AND METHODS

Twenty-one patients (15 males, 6 females; mean age: 31.6±17 years; range, 4 to 67 years) with benign and malignant tumors or tumor-like lesions in the talus region treated and followed in our clinic between January 2007 and January 2019 were evaluated retrospectively. Radiological, pathological, surgical, and demographic features were scanned from the database.

RESULTS

Patients were followed for mean 80±45.1 (range, 25 to 156) months. The most common complaint was pain and antalgic gait. Benign bone tumors were found in 15 (71%) of 21 patients, while tumor-like lesions (two intraosseous ganglia, osteomyelitis, and bone infarction) were found in four patients. The remaining two were patients with lung and bladder cancer metastasis. Lesion size was mean 2.1±0.5 (range, 1.1 to 3.3) cm. Recurrence developed in 14.3% (n=3) of the patients during follow-up.

CONCLUSION

The talus is a rare location for tumors; however, benign and malignant tumors and tumor-like lesions may be localized in the talus.

摘要

目的

本研究旨在探讨距骨内肿瘤和瘤样病变的特征及随访结果。

患者与方法

回顾性分析 2007 年 1 月至 2019 年 1 月期间在我院治疗和随访的 21 例距骨区良性和恶性肿瘤或瘤样病变患者(15 例男性,6 例女性;平均年龄 31.6±17 岁;年龄范围 4 至 67 岁)。从数据库中扫描了影像学、病理学、手术和人口统计学特征。

结果

患者平均随访 80±45.1 个月(范围 25 至 156 个月)。最常见的症状是疼痛和步态跛行。21 例患者中 15 例(71%)发现良性骨肿瘤,4 例发现瘤样病变(两个骨内神经节、骨髓炎和骨梗死)。其余两例为肺癌和膀胱癌转移患者。病变大小平均为 2.1±0.5cm(范围 1.1 至 3.3cm)。随访期间 14.3%(n=3)的患者出现复发。

结论

距骨是肿瘤的罕见部位;然而,良性和恶性肿瘤和瘤样病变可能发生在距骨。

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Recurrent aneurysmal bone cyst of talus resulted in tibiotalocalcaneal arthrodesis.距骨复发性动脉瘤样骨囊肿导致胫距跟关节融合术。
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