查詢結果分析
相關文獻
- Fibroma of Tendon Sheath in the Hand-Experience of 12 Cases at Kaohsiung Veterans General Hospital
- 不同協調型式與高爾夫技能表現相關之研究
- 空手道選手手部神經感覺之研究
- Application of Expanded Full Thickness Skin Graft for Release of Burn Hand Contracture
- 手部外傷的治療原則
- 手部外傷病患住院期間之急性創傷後反應--量表發展及現況
- 手部反射性交感神經失養症的職能治療
- 手部肌腱轉移手術後之物理治療
- 手部末稍神經受損的治療計劃
- A Free Ultrathin Latissimus Dorsi Perforator Flap (LDPF) for Reconstruction of Soft Tissue Defect in the Hand
頁籤選單縮合
題 名 | Fibroma of Tendon Sheath in the Hand-Experience of 12 Cases at Kaohsiung Veterans General Hospital=手部腱鞘纖維瘤--高雄榮總的12例經驗分享 |
---|---|
作 者 | 白士欣; 陳理維; 楊國強; 徐圭璋; 劉文忠; 陳俊豪; 陳錦時; 林政達; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 20:4 2011.12[民100.12] |
頁 次 | 頁274-287 |
分類號 | 415.78 |
關鍵詞 | 手部; 腱鞘纖維瘤; Fibroma; Fibroma of tendon sheath; Hand; |
語 文 | 英文(English) |
中文摘要 | 背景:手部腱鞘纖維瘤是罕見的良性腫瘤,其好發於上肢,尤其是手部。就目前所知,手術切除被視為可治癒的治療方法,並通常維持低復發機率,更特別的是,較大之腱鞘纖維瘤在手部極為罕見,通常只見於個案報告。目的及目標:我們回顧並分析高雄榮總歷年來該腫瘤之患者的相關特性,並將我們的經驗與其他已發表之相關經驗做比較,以期尋求適切之診斷及治療方法,並於文中分享其中一例較大腫瘤之個案(案例一)。材料及方法:我們回溯收集從1991年1月至2007年3月,高雄榮總12例被診斷為手部腱鞘纖維瘤的病患,收集的項目包含性別、年齡、症狀、受傷與否、治療部門、腫瘤位置、術前影像檢查、治療方法、腫瘤外觀、腫瘤大小、追蹤時間、復發與否。結果:在接受手術的12位病患中,有11例在門診完成手術,其中一例因為較大之腫瘤,有惡性腫瘤之可能性,故安排住院後手術。其中有五位病患接受了術前的影像學檢查,另外七位病患並未接受任何術前影像檢查。在術後追蹤中並未發現有腫瘤復發或手術併發症的情況,在病患性別比例上男女比為2:1,呈現較好發於男性的傾向,病患的平均年齡為45歲(其中男性為46歲,而女性為44歲)。至於腫瘤的分布情形:在指節有6例,手掌有3例,手腕有2例,指縫間有1例,左右手各有六例,並無好發於右手或左手的傾向。腫瘤的平均大小為1.5公分,其中有一患者之腫瘤明顯較其他病患為大,其大小為5.4 x 3.8 x 2.6公分。結論:我們發現在大部分手部腱鞘纖維瘤的病患中,單純的腫瘤切除可以門診手術完成,在一罕見病例中,可能因為腫瘤較大及惡性之可能性,針對此類病患住院手術的安排一般可能是需要的,在可追蹤的九名病患中,並未發現有復發之情形,手部腱鞘纖維瘤為男性較好發,且指節為最常好發之處,然而,手部腱鞘纖維瘤對於骨頭的侵犯顯然比腱鞘巨細胞瘤明顯來得少,所以術前影像學檢查不僅可排除是否有骨頭之侵犯並使之與巨大細胞瘤作區分,並可進一步避免外科醫師在術中傷及神經血管及附近組織。 |
英文摘要 | Background:Fibroma of tendon sheath is a rare benign tumor and tends to involve upper extremities, especially in the hand. To our knowledge, treatment with marginal excision biopsy was always thought to be curative with low tumor recurrent rate. More specially, large tumor size fibroma of tendon sheath in the hand was especially rare and seen in case reports only.Aim and Objectives:We try to find out the characteristic of fibroma of tendon sheath in the hand at Kaohsiung Veterans General Hospital (KSVGH) and shared a rare case presented with large tumor size in our series (case 1).Materials and Methods:From January 1991 to March 2007, 12 cases with fibroma of tendon sheath in the hand at KSVGH were collected with a retrospective method. The data of patients collected included gender, age, symptoms, trauma history, outpatient or admission division treatment, location of tumor, preoperative image study, treatment modalities, gross appearance, tumor size, follow-up period, and recurrence.Results:Among these 12 cases, 11 cases underwent marginal excision biopsy at our outpatient division and only 1 case admitted for marginal excision biopsy due to large tumor size with possibility of malignancy. 5 cases received pre-operative image study and the other 7 cases didn’t receive any pre-operative image study. No patient was found to have tumor recurrence or surgical complication during postoperative follow-up. The ratio of male to female is 2 to 1 with male predominant tendency. The average age is 45 years old (M: 46 and F: 44). The tumor distributed over digit in 6 cases, palm in 3 cases, wrist in 2 cases, interdigital web in 1 case. No predilection of right or left hand was found. The average tumor size was 1.5 cm in greatest dimension. One case with large tumor size: 5.4 x 3.8 x 2.6 cm was noted.Conclusion:We found that in most cases (91.7%) presented with small tumor size and the marginal excision biopsy can be completed at outpatient division. In one rare case (8.3%), due to large tumor size and possibility of malignancy, admission surgery may be needed. No tumor recurrence was found in our 9 available follow-up cases. The tumor is characterized with male predominant and digit is the most popular site. Fibroma of tendon sheath was rarely associated with bone erosion, which was common in giant cell tumor of tendon sheath. Preoperative image study is highly suggested, especially in those with large tumor, not only to differentiate fibroma of tendon sheath (FTS) with giant cell tumor of tendon sheath (GCTTS) but also to prevent intraoperative neurovascular and adjacent structures damages. |
本系統中英文摘要資訊取自各篇刊載內容。