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| 題 名 | 兩歲小孩之骨巨細胞瘤 |
|---|---|
| 作 者 | 林春雄; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 14:2 1981.06[民70.06] |
| 頁 次 | 頁159-166 |
| 關鍵詞 | 骨巨細胞瘤; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 遍閱骨科教科書均謂骨巨細胞瘤乃發生於二十歲至四十歲之年輕成人之成熟骨,很少發生於小還未成熟骨上;卽Epiphyseal plate未閉合以前很少發生骨巨細胞瘤,甚至有的書上說絕不可能發生。本人於民國66年1月1日發現一個兩歲小男孩於橈骨末端發生骨巨細胞瘤之病例,覆閱骨科文獻報告。十五歲以下其發生率只佔所有骨巨細胞瘤之2%。年齡愈小其發生率更少,在國內還未見此種小兒未成熟骨之骨巨細胞瘤病例報告,茲特別提出國內第一個小兒未成熟骨之骨巨細胞瘤病例,經開刀治療後追踪三年半沒有再發之現象,且保全了橈骨的正常發育及手脕關節之機能。骨巨細胞瘤可發生於骺橛未閉合之小兒未成熟骨。且因其原發於Metaphysis而非Epiphysis。所以平期發現在未侵犯骺板時做根治切除,可保全小兒未成熟骨之正常發育及關節機能。 |
| 英文摘要 | A case of giant-cell tumor of the right distal radius occurred in a two-year-old male child is presented. The tumor involved the distal radius about 5 cm in length and the epiphysis of distal tadius was partially involved, but the epiphysis near the surface of wrist joint is spared. Successfully treated by En Bloc resection of the tumor, thorough curettage of the epiphyseal cartilage, and filling the defect of distal radius by a segment of cortical graft of iliac bone with additional PP cast external fixation. Follow up a period of 3 and half a year, normal bone growth of radius and function of wrist joint are all preserved and without recurrence. Occurrence of giant-cell tumor of bone in skeletally immature children is very rare, and never reported in our country. In this report the literature of giant-cell tumor of immature bone is reviewed and the principle of its treatment is introduced. The tumor originate in the metaphysis rather than in the epiphysis. If a radical excision of the tumor in the early stage before it involves the epiphysis, the normal development of immature bone arid joint function can be preserved. |
本系統中英文摘要資訊取自各篇刊載內容。