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术后原发性附肢骨肿瘤的影像学检查。

Imaging following surgery for primary appendicular bone tumours.

机构信息

University Hospitals of Leicester NHS Trust, Leicester, UK.

Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.

出版信息

Skeletal Radiol. 2021 Aug;50(8):1527-1555. doi: 10.1007/s00256-021-03712-z. Epub 2021 Jan 22.

Abstract

Primary bone tumours are uncommon, with sarcomas accounting for < 0.2% of all malignancies. The survival rate of primary bone sarcomas has significantly improved due to (neo)adjuvant therapy, while improved surgical techniques and development of new prostheses have shifted the surgical focus from amputation to limb preservation in the vast majority of patients. A wide variety of surgical options are available for the treatment of primary bone tumours which depend upon histological diagnosis, their appearance at the time of presentation and response to any (neo)adjuvant therapy as required. This review is intended to help radiologists familiarise themselves with the management of primary appendicular bone tumours and expected normal postoperative appearances for the various surgical techniques, and to recognise potential complications.

摘要

原发性骨肿瘤较为少见,肉瘤占所有恶性肿瘤的比例<0.2%。由于(新)辅助治疗,原发性骨肉瘤的存活率显著提高,而手术技术的改进和新型假体的发展使得绝大多数患者的手术重点从截肢转向保肢。有多种手术选择可用于治疗原发性骨肿瘤,这取决于组织学诊断、就诊时的表现以及是否需要任何(新)辅助治疗的反应。本文旨在帮助放射科医生熟悉四肢原发性骨肿瘤的治疗方法以及各种手术技术的预期术后正常表现,并识别潜在的并发症。

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