NONTRAVMATİK AYAK BİLEĞİ AĞRILI ADOLESANDA DEV HÜCRELİ TÜMÖR OLGUSU

Öz

Giriş: Dev hücreli tümör uzun kemiklerde görülmekle beraber iskelet gelişimi tamamlanmamış kişilerde ve ayak bileği çevresinde görülmesi nadirdir. Olgu Sunumu: 16 yaşında ayak bileği ağrısı ile başvuran bir çocuk hastada yapılan tetkiklerde dev hücreli tümör saptadık. Tümör küretaj, fenol tedavisi, bioseramik greftleme ve plak vida fiksasyonu ile tedavi edildi. Hasta takibinde ağrısız bir şekilde yürüyordu. Rekürrens ve metastaz saptanmadı. Tartışma ve Sonuç: Kemiğin dev hücreli tümörü %5 oranında görülebilen lokal agresif bir tümördür. Tedavide küretaj veya rezeksiyon yapılmaktadır. Adjuvan tedavide fenol, alkol, ve kemik çimentosu kullanılmaktadır. Bununla beraber adjuvan tedavi tartışmalıdır. Küretaj sonrası pmma, kemik grefti, sentetik kemik grefti veya bioseramik kullanılmaktadır. Standart bir tedavi yöntemi yoktur. İskelet gelişimini tamamlamamış hastada dev hücreli tümör küretaj, fenol ile adjuvan tedavi ve biose-ramik greftleme ile güvenli bir şekilde tedavi edilebildiğini gösterdik. Dr. İzzet KORKMAZ Dr. Özgür ÇİÇEKLİ Dr. Nurdan KORKMAZ Dr. Turgut AKGÜL

Anahtar Kelimeler

• Kemiğin dev hücreli tümörü
• küretaj
• ayak bileği
• biyoseramik greft

NONTRAUMATIC ANKLE PAIN IN ADOLESCENT : A CASE OF GIANT CELL TUMOR.

Öz

Introduction : Giant cell tumor is generally occurs in long bones and adults . It is rarerly seen at the ankle of children. Case Presentation: A 16 years old boy presented with a painful ankle. We diagnosed a giant cell tumor at right ankle. The giant cell tumor of distal tibia was treated with an intralesional curettage, phenol application , bioseramic graft and bone plate fixation. There are no recurrance and methastasis of tumor at the followup. Patient is walking without pain and he has not any complaint. Conclusions : Giant cell tumor of the bone is local aggressive tumor and aproxi-mately seen 5 % of all primary bone tumor. Treatment choise is including intrale-sional curttage and resection of tumor. Adjuvant therapy is a debate. Phenol, alcohol and bone cement are commonly used in adjuvant therapy. Cement, bone graft and bioseramic graft are using after curettage to fill cavity. There are not a satisfactory standart treatment method. We treat and document a safe treatment method of giant cell tumor with an intralesional curattage , phenol therapy and bioseramic grafting in skeletally immatur patient.

Anahtar Kelimeler

• Bone giant cell tumor
• curettage
• ankle
• bioseramic graft

Kaynakça

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