[Conservative treatment in orthopedic oncology surgery ?]

Revue medicale de Liege Pub Date : 2024-07-01
Christopher Mettlen, Olivier Galand
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引用次数: 0

Abstract

Bone tumors are and remain rare entities in our daily hospital clinical practice. Their appearance seems anecdotal but does not remain absent. They can manifest directly (pain, redness, functional impotence, suspicious mass, etc.) or indirectly (inflammatory or paraneoplastic syndrome, profuse sweating, emaciation, etc.). The most common benign bone tumors are non-ossifying bone fibroma. Then come osteochondroma and solitary bone cysts. For malignant tumors, osteosarcomas and chondrosarcomas are at the forefront. Primary bone lymphoma accounts for less than 1 % of these. In general, lymphomatous bone lesions are frequently metastasis from primary hematological lymphoma and are therefore treated by chemotherapy. An early surgical treatment of the bone tumor is most often not mandatory and a conservative therapy may represent a valuable option.

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[肿瘤骨科手术中的保守治疗?]
在我们日常的医院临床实践中,骨肿瘤一直是罕见病例。它们的出现似乎只是传闻,但并非不存在。它们可以直接表现出来(疼痛、发红、功能性阳痿、可疑肿块等),也可以间接表现出来(炎症或副肿瘤综合征、多汗、消瘦等)。最常见的良性骨肿瘤是非骨化性骨纤维瘤。然后是骨软骨瘤和单发骨囊肿。恶性肿瘤以骨肉瘤和软骨肉瘤居多。原发性骨淋巴瘤不到其中的 1%。一般来说,淋巴瘤性骨病变常常是原发性血液淋巴瘤的转移,因此需要接受化疗。骨肿瘤的早期手术治疗通常不是强制性的,保守疗法可能是一种有价值的选择。
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