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肘部肌肉骨骼肿瘤的流行病学概况与演变

EPIDEMIOLOGICAL PROFILE AND EVOLUTION IN MUSCULOSKELETAL TUMORS AT THE LEVEL OF THE ELBOW.

作者信息

Mazzolin Vinicius DE Abreu, Kalluf Julia Rocha, Ogata Fiama Kuroda, Oliveira Nathalia Sundin Palmeira DE, Garcia Jairo Greco, Petrilli Marcelo DE Toledo, Korukian Marcos, Viola Dan Carai Maia

机构信息

Grupo de Apoio à Criança com Câncer, São José dos Campos, SP, Brazil.

Universidade Federal de São Paulo, Paulista School of Medicine, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

出版信息

Acta Ortop Bras. 2023 Feb 20;31(1):e261309. doi: 10.1590/1413-785220233101e261309. eCollection 2023.

Abstract

OBJECTIVE

To present the epidemiological profile of bone and soft tissue tumors that affect the elbow region treated at an oncology referral center in Brazil.

METHODS

Retrospective observational case series study to evaluate the results of elbow cancer undergoing clinical and/or surgical treatment with the first visit from 1990 to 2020. The dependent variables were benign bone tumor, malignant bone tumor, benign soft tissue tumor, malignant soft tissue tumor. Independent variables were sex, age; presence of symptoms (pain/increase in local volume/fracture); diagnosis; treatment and recurrence.

RESULTS

In total, 37 patients were included, 51.35% of whom were female, with a mean age at diagnosis of 33.5 years. Soft tissue neoplasms correspond to 51% of cases against 49% of bone tumors. Among the symptoms, the general prevalence of pain was 56.75%, the general increase in local volume occurred in 54.04% of the patients and the presence of fractures in 13.43%. Surgical treatment occurred in 75.67% of cases and recurrence in 16.21% of cases.

CONCLUSION

The tumors that affect the elbow in our series correspond mostly to benign tumors, involving bone or soft tissues, with a higher occurrence in young adult patients.

摘要

目的

介绍在巴西一家肿瘤转诊中心接受治疗的累及肘部区域的骨与软组织肿瘤的流行病学概况。

方法

回顾性观察病例系列研究,以评估1990年至2020年首次就诊时接受临床和/或手术治疗的肘部肿瘤的结果。因变量为良性骨肿瘤、恶性骨肿瘤、良性软组织肿瘤、恶性软组织肿瘤。自变量为性别、年龄;症状(疼痛/局部体积增大/骨折)的存在情况;诊断;治疗及复发情况。

结果

共纳入37例患者,其中51.35%为女性,诊断时的平均年龄为33.5岁。软组织肿瘤占病例的51%,骨肿瘤占49%。在症状方面,疼痛的总体发生率为56.75%,54.04%的患者出现局部体积总体增大,13.43%的患者出现骨折。75.67%的病例接受了手术治疗,16.21%的病例出现复发。

结论

在我们的系列研究中,累及肘部的肿瘤大多为良性肿瘤,涉及骨或软组织,在年轻成年患者中发生率较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa5/9949311/913a7c472328/1809-4406-aob-31-01-e261309-gf1.jpg

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