Epidemiology of musculoskeletal tumors in a national referral orthopedic department. A study of 3482 cases

Endoprothetische RekonstruktionenEndoprothesen dienen der Rekonstruktion von Gelenken. Nach Tumorresektionen können Megaprothesen, Implantate, mit denen Gelenke und angrenzende Knochendefekte rekonstruiert werden, zur Anwendung kommen. Diese können, bedingt durch deren Modularität, intraoperativ hinsichtlich Größe und Länge "legoartig" den lokalen Notwendigkeiten angepasst werden. Mittlerweile können nahezu sämtliche anatomischen Lokalisationen wie der proximale, distale oder gesamte Oberschenkel, die proximale Tibia und der proximale bis hin zum gesamten Humerus endoprothetisch rekonstruiert werden [19].Die Hauptvorteile der modularen Endoprothesensysteme sind, dass sie meist in den größeren (Tumor-)Zentren in allen Formen und Größen zur Verfügung stehen, die sofortige Stabilität garantiert werden kann und die Vollbelastung mög-lich ist. Somit kann postoperativ schnell mit der Physiotherapie begonnen wer-

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“…1-2/100.000 EinwohnerInnen/Jahr auftreten [2]. Knochensarkome sind bei Kindern häufiger anzutreffen als bei Erwachsenen [1].…”

Section: Epidemiologieunclassified

“…Das Ewing-Sarkom kommt dagegen insbesondere im Bereich des proximalen Femurs und der Femurdiaphyse vor (22 %), gefolgt vom knöchernen Becken (18 %), von der Brustwand bzw. der proximalen Tibia (je 8 %; [2]). [3,11].…”

Section: Epidemiologieunclassified

Extremitätenerhaltende Chirurgie bei Tumoren im Kindesalter

Bergovec

Friesenbichler

Scheipl

et al. 2017

Monatsschr Kinderheilkd

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“…Osteoid osteoma (OO) is the most common benign osteogenic bone tumor (75%-85% of all benign osteogenic bone tumors), and accounts for 4%-5.5% of all primary bone tumors [1][2][3] . It typically occurs in young adults, with a marked male predominance (2-4:1) 1 .…”

Section: Introductionmentioning

confidence: 99%

Osteoid Osteoma of the Coracoid Process: Case Report With Literature Review

Božić

Josipović

Bohaček

et al. 2016

acc

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SUMMARY -Osteoid osteoma (OO) is the most common benign osteogenic bone tumor that predominantly aff ects young adults. OO is commonly localized in long bones, and therefore, it is rarely considered in diff erential diagnosis of chronic shoulder pain. We report a case of a 22-year-old male athlete, without history of previous trauma, who presented to our Department with chronic shoulder pain, which escalated during the night and responded to nonsteroidal anti-infl ammatory drug treatment. Considering these typical symptoms, diagnostic pathway was immediately directed towards OO, with magnetic resonance and computed tomography confi rming the diagnosis of OO of the coracoid process (CP). Since neurovascular structures are in the proximity of CP, and this very delicate area does not support radiofrequency ablation, we decided to perform an open procedure with drilling of the lesion and excochleation. Th e pain withdrew immediately after the procedure, and on six-month follow up the patient remained pain free. In the treatment of OO of the CP, we recommend open surgical procedure with tumor ablation by drilling instead of CP resection, presenting a safe, simple and low-cost method that simultaneously completely destroys the lesion and preserves the anatomical and functional role of CP.

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“…Musculoskeletal tumors are relatively rare and are very variably distributed worldwide [1]. Among them, malignant varieties are rare but can be more aggressive with a high potential for systemic spread [2].…”

Section: Introductionmentioning

confidence: 99%

Primary Malignant Musculosqueletal Tumors of Members in Adult in Togo

Walla¹,

Gnandi-Pio²,

Dossim³

et al. 2016

OJO

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Purpose: Primary malignant musculosqueletal tumors in adult are rare affections group and its treatment is still a real challenge today. The aim of this work was to describe the epidemiologic and treatment aspects of these tumors in the national reference center of our country. Materiel and Methods: It was a retrospective review of primary malignant musculosqueletal tumors treated in orthopedics and trauma unit of Sylvanus Olympio teaching hospital of Lomé, Togo from January 2000 to December 2014. Results: During the study period, 28 cases were selected and reviewed. There were 17 men (60.71%) and 11 women (39.29%). The average age was 32.7 years. There were 20 cases (71%) of primary malignant bone tumors (PMBT) and 8 cases (29%) of primary malignant soft tissues tumors (PMSTT). There were 6 (30%) of osteosarcoma. The tumor was located in the bones of the forearm and wrist/hand in 2 (10%) patients for each anatomical site; for the lower limb, around knee in 7 (35%) patients. Eight patients had PMSTT (28, 57%). There were three cases of rhabdomyosarcoma, 2 cases of fibrosarcoma. Tumors were located around knee in 4 cases and around ankle/foot in 3 cases. In the two groups of tumor, tumor resection was performed in 5 patients (17.86%) and limb amputation indicated in 23 patients (82.14%), was performed in 15 (53.57%) and 8 patients (37.78%), rejected it and left hospital against medical advice. Conclusion: Malignant musculoskeletal tumors are relatively rare in Togo. Their treatment is based on radical surgery which is often not supervised by adjuvant therapies. Ignorance, poverty of the population and embryonic state of diagnostic and treatment infrastructures are the obstacles to their care. Education and awareness must be integrated to care and fight against this group of diseases.

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Epidemiology of musculoskeletal tumors in a national referral orthopedic department. A study of 3482 cases

Cited by 60 publications

References 14 publications

Extremitätenerhaltende Chirurgie bei Tumoren im Kindesalter

Extremitätenerhaltende Chirurgie bei Tumoren im Kindesalter

Osteoid Osteoma of the Coracoid Process: Case Report With Literature Review

Primary Malignant Musculosqueletal Tumors of Members in Adult in Togo

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