Lepage J, Rigault P, Nezelof C, Padovani J P, Pierre-Kahn A, Guyonvarc'h G
Rev Chir Orthop Reparatrice Appar Mot. 1984;70(2):117-27.
In a 20 year period the authors have seen 8 cases of osteoblastoma in patients less than 15 years old. Four were in the spine, three in the hand and one in the tibia. Three of the four limb osteoblastomas were lost to follow up after curettage, one of them after a recurrence. The fourth one was cured after 9 years. None of the spine lesions recurred after a follow up of from two to 14 years but two of them had a rigid kyphosis. It is concluded that osteoblastoma is normally benign in children. The pathological diagnosis may be difficult. In one the initial diagnosis had been of osteosarcoma. The treatment is based on complete excision. In the spine, it should be accompanied by arthrodesis.
在20年的时间里,作者共诊治了8例15岁以下的骨母细胞瘤患者。其中4例位于脊柱,3例位于手部,1例位于胫骨。4例四肢骨母细胞瘤患者在刮除术后失访,其中1例复发后失访。第4例患者在9年后治愈。脊柱病变在随访2至14年后均未复发,但其中2例出现了僵硬的脊柱后凸。结论是,儿童骨母细胞瘤通常为良性。病理诊断可能困难。其中1例最初诊断为骨肉瘤。治疗基于完整切除。对于脊柱病变,应同时进行关节融合术。