儿童指骨巨细胞瘤切除和骨骺的再生
Resection of Giant Cell Turnout of the Phalanx in Children and Epiphyseal Regeneration作者机构：上海第二医学院附属瑞金医院小儿外科 上海市伤骨科研究所
出 版 物：《中华小儿外科杂志》 (Chinese Journal of Pediatric Surgery)
年 卷 期：1984年第5卷第2期
页 面：97-98页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：儿童 骨巨细胞瘤 瘤切除 骨骺 再生 Children 指骨 游离移植 knee joint Treatment 肿瘤复发 治疗方法 指再造术 手指功能 髂嵴软骨 病变 cell However 自体骨 植骨术
摘 要：Giant cell tumour of bone is common in adults between 21 and 40 but is rare in children. Its favorite site of occurrence is knee joint and trunk and it rarely occurs in phlanges. At early stage, it should be differentiated from enchondroma. Treatment of giant cell tumour of hand depends on its nature and site, which comprises curettage of the lesion supplemented by bone grafting. But recurrence is as high as 90%and in that circumstance amputation of the affected finger will have to be indicated. In one case of our group, the recurrence happened owing to inadequate eradication of the lesion and denoted a potential for malignancy. Resection of the whole affected phalanges was performed followed by rebuilding with autogenous graft of iliac bone. The epiphysis of iliac crest was substituted for the rebuilt phalange and its epiphysis. The patient was followed up for 4 years. X-ray film showed that the grafted bone had been almost shaped into normal phalanx with for mation of new epiphysis at the epiphyseal end of the grafted iliac bone. The rebuilt finger functions well. However, the rare occurrence of epiphyseal regenration calls for further discussion.
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