TY  - JOUR
T1  - EL VE EL BİLEK YUMUŞAK DOKU TÜMÖRLÜ HASTALARDA EKSİZYONEL CERRAHİ KISA DÖNEM SONUÇLARI Short-term Results of Excisional Surgery in Patients with Soft Tissue Tumors of the Hand and Wrist
AU  - Acar, Erdinc
AU  - Gültekin, Alper
PY  - 2020
DA  - June
DO  - 10.16919/bozoktip.587949
JF  - Bozok Tıp Dergisi
PB  - Yozgat Bozok Üniversitesi
WT  - DergiPark
SN  - 2146-4006
SP  - 73
EP  - 79
VL  - 10
IS  - 2
LA  - tr
AB  - Amaç: El ve el bilekte yumuşak doku kitlesi ile kliniğimize başvurup eksizyonel cerrahi tedavi uyguladığımızhastaların kısa dönem sonuçları değerlendirildi.Gereç ve Yöntem: Çalışmaya, Aralık 2017 ile Mayıs 2019 tarihleri arasında eksizyonel cerrahi tedavi uygulanan34 hasta (25 bayan, 9 erkek) dahil edildi. Bu hastalarda yineleme oranı ve mennuniyet oranlarıdeğerlendirildi. Cerrahi sonrası yara yeri enfeksiyonu ve nörovasküler yaralanma gibi komplikasyonlar değerlendirilmiştir.Bulgular: Hastaların yaş ortalaması 42,6 (29-57). Hastaların 25’i (%73,6) bayan, 9’u (%26,4) erkek idi. Hastalarortalama 13 ay (10-18) takip edildi. Bu hastaların ameliyat sonrası patoloji sonuçlarında; 20 hastada ganglionkisti, 6 hastada epidermal inklüzyon kisti, 4 hastada tendon kılıfı dev hücreli tümör, 2 hastada lipom, 1hastada hemanjiom ve 1 hastada düşük dereceli (low grade) liposarkom şeklinde sonuç alındı. Hastalardayineleme izlenmedi. Hastaların tamamı, cerrahi tedaviden memnun kaldıklarını belirtti.Sonuç: El ve el bilek yumuşak doku tümörü olan hastalarda uygulanan düzgün ve başarılı eksizyonel cerrahitedavi; nüks ve komplikasyon gelişmemesi açısından yararlı bir yöntem olarak karşımıza çıkmaktadır.Anahtar kelimeler: Eksizyonel cerrahi tedavi; el ve el bilek; yumuşak doku tümörüABSTRACTObjective: In this study, we report our short-term results of excisional surgery in patients with soft tissuetumors of the hand and wrist.Material and Method: A total of 34 patients who were admitted with a soft tissue lesion of the hand andwrist and underwent excisional surgery in our clinic between December 2017 and May 2019 were included.Recurrence rate and patient satisfaction were evaluated. Postoperative complications such as wound infectionsand neurovascular events were recorded.Results: Of the patients, 25 (73.6%) were females and 9 (26.4%) were males. The mean age was 42.6 (range,29 to 57) years. The mean follow-up was 13 (range, 10 to 18) months. Pathological examination results werereported as a ganglion cyst in 20, an epidermal inclusion cyst in six, a giant cell tumor of tendon sheath infour, a lipoma in two, a hemangioma in one, and a low-grade liposarcoma in one patient. No recurrence wasseen in any of the patients. The rate of patient satisfaction was 100% in all patients.Discussion and Conclusion: Our study results suggest that a well-planned excisional surgery is an effectiveand feasible method for the treatment of soft tissue tumors of the hand and wrist and has no potential riskfor recurrence or postoperative complications.Keywords: Excisional surgery; soft tissue tumor; hand and wrist.
KW  - EL VE EL BİLEK YUMUŞAK DOKU TÜMÖRLÜ HASTALARDA EKSİZYONEL CERRAHİ KISA DÖNEM SONUÇLARI Short-term Results of Excisional Surgery in Patients with Soft Tissue Tumors of the Hand and Wrist
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UR  - https://doi.org/10.16919/bozoktip.587949
L1  - https://dergipark.org.tr/tr/download/article-file/1142442
ER  -