Periosteal Kondromanın en blok Rezeksiyonu Sonrası Klinik Sonuçları: Geriye Dönük Klinik Çalışma

Year 2021, Volume: 23 Issue: 2, 192 - 196, 30.08.2021

Erhan Okay , Ayse Toksöz , Tulay Zenginkinet Begümhan Baysal Seyit Ali Gümüştaş , Korhan Özkan

https://doi.org/10.18678/dtfd.939661

Abstract

Amaç: Periosteal kondroma oldukça nadir gözlenen ve ayırıcı tanısı zor bir kondroid tümördür. Yerleşimi diğer yüzeyel periosteal lezyonlar ile benzerlik gösterir. Bu lezyonlar farklı yaş gruplarında görülmektedir. Cerrahi tedavisinde küretaj, marjinal eksizyon veya en blok rezeksiyon uygulanmaktadır. Nüksü azaltmak amacıyla en blok rezeksiyon tercih edilir. Bu çalışmada, periosteal kondromanın ayırıcı tanı ve tedavisinde iki ortopedik onkoloji merkezinin tecrübesinin aktarılması amaçlanmıştır.
Gereç ve Yöntemler: İki kliniğe ait veriler geriye dönük olarak incelendi. Demografik veriler (yaş, cinsiyet), klinik bulgular (ağrı, şişlik, basıya bağlı semptom, takip süresi), radyolojik bulgular (kitle büyüklüğü, kemik invazyonu), patoloji sonuçları (biyopsi, eksizyon) ve ameliyat sonrası komplikasyonlar (nüks) hakkında veri toplandı.
Bulgular: Çalışmaya 14 hasta dahil edildi. Tüm vakalarda en blok rezeksiyon uygulandı. Hastaların ortalama yaşı 31,5±16,5 (aralık, 8-58) yıl idi. 10 (%71,4) hasta erkek cinsiyetti. Ortalama şikayet süresi 6,6±4,8 (aralık, 0-18) ay, ortalama takip süresi ise 46,7±39,6 (aralık, 6-132) ay idi. Dokuz (%64,3) hastada ağrı şikayeti mevcuttu. Altı (%42,9) hastada şişlik şikayeti mevcuttu. Bir (%7,1) hastada palpe edilebilen bir kitle mevcuttu. Bir (%7,1) hastada şikayet bulunmuyordu. Bir (%7,1) hastaya biyopsi yapıldı. Takip süresince nüks veya en blok rezeksiyon sonrasında herhangi bir komplikasyon görülmedi.
Sonuç: Benign ve malign periosteal kondroid tümörlerin görüntüleme ve histopatolojik bulguları çakışabilir ve bu lezyonların tedavisinde, ayırıcı tanının doğru yapılması oldukça önem arz eder. En blok rezeksiyon takip sırasında nüksü önlemektedir.

Keywords

enblok rezeksiyon, periosteal kondrom, kondrosarkom, nüks

Clinical Outcomes after En Bloc Resection of Periosteal Chondroma: A Retrospective Clinical Study

Abstract

Aim: Periosteal chondroma is a rare chondroma that is difficult to differentiate. Its localization is similar to other surface periosteal lesions. These lesions have a wide distribution of age. Curettage, marginal excision, or en bloc resection are applied in the surgical treatment. En bloc resection is preferred to reduce recurrence. In this study, we aimed to share the experience of two orthopedic oncology centers in the differential diagnosis and treatment of periosteal chondroma.
Material and Methods: Data from two clinics were analyzed retrospectively. Data were collected on demographic data (age, gender), clinical findings (pain, swelling, pressure-related symptom, duration of follow-up), radiological findings (size, bony invasion), pathology results (biopsy, excision), and postoperative complications (recurrence).
Results: Fourteen patients were included in the study. En bloc resection was performed in all cases. The mean age of the patients was 31.5±16.5 (range, 8-58) years. 10 (71.4%) patients were male. The mean duration of symptoms was 6.6±4.8 (range, 0-18) months, and the mean follow-up was 46.7±39.6 (range, 6-132) months. Nine (64.3%) patients had pain. Six (42.9%) patients had swelling. One patient (7.1%) had a palpable mass. There was no complaint in 1 (7.1%) patient. One (7.1%) patient underwent biopsy. During the follow-up, no recurrence or complication was observed after en bloc resection.
Conclusion: Imaging and histopathological findings of benign and malignant periosteal chondroid tumors may overlap, and accurate differential diagnosis is crucial in the treatment of these lesions. En bloc resection prevents recurrence during follow-up.

Keywords

En-bloc resection, periosteal chondroma, chondrosarcoma, recurrence

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