脚部和踝关节局部腱鞘巨细胞瘤的外科治疗结果:一个病例系列

Q3 Medicine Acta Medica Lituanica Pub Date : 2023-10-18 DOI:10.15388/amed.2023.30.2.8
Edoardo Ipponi, Alfio Damiano Ruinato, Leonardo Lombardi, Martina Cordoni, Silvia De Franco, Antonio D'Arienzo, Lorenzo Andreani
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引用次数: 0

摘要

背景:腱鞘巨细胞瘤(GCTTS),也称为腱鞘滑膜巨细胞瘤(TGCT),是一种起源于肌腱鞘或滑囊的局部侵袭性肿瘤。大约3-5%的肿瘤来自足部和踝关节。该区域的局部病变通常表现为坚硬的肿块或结节,病程缓慢但持续数月或数年。根据肿瘤的位置,可能会报道与负重相关的疼痛,以及关节活动受限。手术是最终切除gctss的首选治疗方法,目的是根除肿瘤,恢复下肢功能。方法:2017年至2022年,我院13例足、踝关节GCTTS患者行手术切除。我们根据MSTS和AOFAS评分记录每例患者的术前和术后症状,以及术前和术后功能状态。报告了最终并发症和局部复发。结果:每位患者在手术前至少有轻度疼痛。术前MSTS和AOFAS平均评分分别为22.8分和70.7分。平均肿瘤大小为17.7 mm。每位患者都接受了大面积切除。局部复发2例(15.4%)。在最近的随访中,没有人出现重大并发症。术后MSTS和AOFAS平均评分分别上升至28.3分和92.2分。结论:宽切缘切除足踝GCTTS可有效恢复患者下肢功能,局部复发率合理。
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Outcomes of Surgical Treatment for Localized Tenosynovial Giant-Cell Tumor of the Foot and Ankle: A Case Series
Background: Giant cell tumor of the tendon sheath (GCTTS), also termed Tenosynovial giant cell tumor (TGCT), is a locally aggressive tumor which originates from tendon sheaths or bursas. Around 3–5% of these tumors arise from foot and ankle. Localized lesions in this area are often manifested as firm masses or nodules with slow but continuous progression through months and years. Pain associated with weight-bearing, as well as limitations in joint motions, may be reported, depending on tumor’s location. Surgery is the treatment of choice for the definitive removal of GCTTSs with the aim to eradicate the neoplasm and restore the lower limb’s functionality.Methods: Thirteen cases suffering from GCTTS of the foot and ankle underwent surgical resection at our institution between 2017 and 2022. For each case we recorded pre-operative and post-operative symptoms, as well as their pre-operative and post-operative functional status according to both MSTS and AOFAS scores. Eventual complications and local recurrences were reported.Results: Each patient experienced an at least mild pain before surgical treatment. The mean pre-operative MSTS and AOFAS scores were 22.8 and 70.7, respectively. The mean tumor size was 17.7 mm. Each patient received a resection with wide margins. Two cases (15.4%) had local recurrences. None had major complications at their latest follow-up. After the surgery, the mean post-operative MSTS and AOFAS scores increased to 28.3 and 92.2, respectively.Conclusion: Resection with wide margins for foot and ankle GCTTS is effective in restoring the patients’ lower limb functionality and is associated with reasonable local recurrence rates.
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来源期刊
Acta Medica Lituanica
Acta Medica Lituanica Medicine-General Medicine
CiteScore
0.70
自引率
0.00%
发文量
33
审稿时长
16 weeks
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