Chondroblastome : résultats après curettage intralésionnel - 13/05/16
Complete local tumor control after curettage of chondroblastoma – a retrospective analysis
, V. Stockhammer a, J. Panotopoulos a, S. Lang b, I. Sulzbacher b, R. Windhager a, P.T. Funovics aAbstract |
Background |
Chondroblastoma is an uncommon benign bone tumor with an incidence of 1% to 2% among all primary bone tumors. In the past, treatment for chondroblastoma has been highly variable leading to different rates of recurrences. Therefore, we aimed to determine: (1) the rate of recurrence, (2) the complication rate, (3) and functional outcome after intralesional curettage of chondroblastoma.
Hypotheses |
Intralesional curettage with high speed burring and packing can avoid local recurrences.
Patients and methods |
Experiences of 22 patients with chondroblastoma of the bone were retrospectively reviewed. The patient group consisted of 16 men; 6 women; mean age 24years (range; 12–58years) affecting in 15 the lower (68%) and in seven the upper extremity (32%).
Results |
There was no local recurrence or malignant transformation. All patients underwent intralesional curettage followed by defect filling presenting in 19 patients (87%) excellent clinical and oncological results (mean MSTS 98.9). Complications were seen in two patients. Pain was the main revealing symptom of the chondroblastoma (n=16, 73%). Mean follow-up of all patients was 114months (range; 25–480months).
Discussion |
Aggressive curettage and packing provided excellent local tumor control and functional results in our patients with chondroblastoma. Malignant transformation is extremely rare, however, present in literature but was not seen in any of our patients.
Level of evidence |
Level IV, retrospective study.
Le texte complet de cet article est disponible en PDF.Keywords : Chondroblastoma, Benign bone tumor, Retrospective, Long-term result, Functional outcome
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 102 - N° 4
P. 343 - juin 2016 Retour au numéro
Article précédent
- La chirurgie d’exérèse large conservatrice et reconstructrice des sarcomes au poignet et à la main
- M.P. Mirous, B. Coulet, M. Chammas, D. Cupissol, C. Lazerges
- Évaluation de l’impact des fiches d’information SFCR avant une chirurgie rachidienne programmée
- R. Madkouri, M. Grelat, A. Vidon-Buthion, M. Lleu, J. Beaurain, K.-L. Mourier
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?