Osteosarkomda Cerrahi Tedavi Sonuçlarımız

Yıl 2007, Cilt: 40 Sayı: 1, 23 - 26, 01.04.2007

Murat Arıkan Erdal Metin Şafak Güngör Yaman Karakoç Deniz Gürler Bülent İnce

Öz

Osteosarcoma is a highly malignant bone tumor especially in the paediatric population with a high rate of lung metastases. İn this paper we reported the surgical follow up and results of 184 osteosarcoma patients follovv up and surgical results with a mean age of 20.9 (4-75 years). 112 male (60.9%) and 72 female (39.1%) patients were reported in this study. The data about the patients were analyzed retrospectively, 60% of the patients were included in the paediatric and adelascant age group (1120) years. 64.7% of the cases were located around knee 64.7% (41.8% distal femora and 23.9% proximal tibia). Conventional osteosarcoma vvas the most commonly reported histopathologic variant with an ratio of 82.1%. Patients vvere evaiuated according to Enneking surgical classification System and 73.9% of the patients ıvere in stage 2B in the initial diagnosis. We performed surgical procedure to 81.5% of patients and limb soluage procedure was preferred in 68.5% of them and we performed amputation to 31.5%. we reported a 4% relaps and a 52.7% of exitus ratio in our group.

Anahtar Kelimeler

Osteosarcoma, surgical treatment, follovv up.

Surgical Therapy Results of Osteosarcoma Patients

Öz

Bu çalışmada Ankara Onkoloji Hastanesi Ortopedi ve Travmatoloji Kliniğinde Ocak 1993-Ocak 2007 tarihleri arasında osteosarkom tanısı almış ve cerrahi tedavisi uygulanmış olan yaş ortalaması 20,9 (4-75 yaş), 112 (%60.9)'si erkek, 72 (%39.1)'i kadın toplam 184 hasta çalışmaya dahil edilmiştir. Hastalara ilişkin veriler retrospektif olarak değerlendirilmiştir. Hastaların %60'ı 11-20 yaş genç gruptu, %64.7'si diz çevresi (%41.8'i femur distal ve %23.9'u tibia proksimal) yerleşimliydi, %82.1'i ile klasik osteosarkom en sık rastlanan tiptir. Hastalar Enneking cerrahi evreleme sistemine göre değerlendirildi ve tam anında %73.9 ile Evre 2B olduğu görüldü. Hastaların %81.5'i öpere edildi. Bu hastalardan %68.5'inde ekstremite koruyucu cerrahi, %31.5'inde amputasyon uygulandı, %4'ünde nüks izlendi. Hastaların %52.7'si öldü, %47.3'ünün takibi devam etmektedir.

Anahtar Kelimeler

Osteosarkom, cerrahi tedavi, takip.

Kaynakça

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