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骨瘤的分布和特征:一个系统的审查
Morad Chughtai1, Adrienne M Orriols2, Supreeya A Saengchote2
1Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville, Florida.
Journal of wrist surgery
|December 2, 2024
概括
这篇综述强调了手骨瘤最常影响骨,头骨和骨. 大多数这些罕见的瘤是良性的,骨质性骨瘤是最常见的类型.
科学领域:
- 整形瘤学 整形瘤学
- 肌肉骨放射学 肌肉骨放射学
- 瘤病理学 瘤病理学
背景情况:
- 手骨瘤很少被记录,这在理解其临床表现方面构成了挑战.
- 识别手腕骨瘤中常见的模式对于诊断和管理至关重要.
研究的目的:
- 系统地审查和分析已发表的手骨瘤病例.
- 为了识别频繁的诊断模式,包括手骨参与和瘤类型.
- 从现有文献中总结患者的人口统计和瘤特征.
主要方法:
- 使用PubMed,Ovid和Cochrane数据库进行了系统的文献审查.
- 收集了关于手骨瘤的数据,采用了特定的纳入和排除标准.
- 分析了151名156名手骨瘤患者的最终队列.
主要成果:
- 脚骨 (31%),头骨 (20%) 和手掌骨 (15%) 是最常受到影响的手掌骨.
- 良性瘤占绝大多数 (85%),骨质骨质瘤 (24%),骨质母细胞瘤/巨细胞瘤 (15%) 和骨内瘤 (13%) 是最常见的.
- 转移性瘤主要源于肺癌 (59%),而主要恶性瘤包括冠状骨肉瘤和血管内皮肉瘤 (43%).
结论:
- 骨,骨和骨是瘤中最常涉及的手骨.
- 良性瘤是主要的类型,骨骨质瘤,骨质母细胞瘤和巨细胞瘤是最常见的.
- 肺癌是转移性手掌瘤的主要来源,而冠状骨肉瘤/血管内皮肉瘤是最常见的原发性恶性瘤.
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