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KMID : 0377619770330060555
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Korean Jungang Medical Journal
1977 Volume.33 No. 6 p.555 ~ p.567
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The Clinical Observation on Bone Tumors
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김태환/Kim, Tae Whan
조덕연/김기용/안병훈/Cho, Duck Yun/Kim, Key Yong/Ahn, Byung Hoon
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Abstract
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We analyzed 171 consecutive cases}of tumors and tumorous conditions of bone
confirmed, roentgenologically and histopathologically at the department of Ort-hopaedic Surgery, National Medical Center since Jan. ´67 to Dec. ´76. The results concluded are as followings;
1. Of 171 cases, the malignant tumors were 99 cases(57, 9%), while the ben-ign tumors were 58 cases(33.9%), and the giant cell tumors were 14 cases (8.2%). Male had slightly higher incidence than female with sex ratio of 1 : 0.7 and they were most frequent in the age group of the second decade.
2. The number of patients visiting hospital within 1 year after the onset of symptoms was 29 cases(50%) in benign, 77 cases(77.8%) in malignant and 6 cases(42.9%) in giant cell tumor.
3. Of 58 benign tumors, the most frequent tumor was the osteochondroma (50%), followed by the enchondnma (17.2%), the osteoid osteoma(10.3%), etc., of 99 malignant bone tumors the most frequent tumor was the osteos-arcoma(33.3%), and the metastatic bone tumor(27.3%), the chondrosarcoma (11.1%), etc. in order.
4. Pain or discomfort of various character was the most frequent complaint on admission in majority of the cases, and bony protrusion, swelling, etc. in order.
5. The history of trauma was concurrently obtainable in 39 cases(22.8%), more in the benign tumor(25.9%) than the malignant tumor(22.2%). 6. As to the localization of tumor in 1711 cases,
a. The most frequent location was found in the lower extremity(57.9%), and the flat bone(22.2%), the upper extremity(14.0l0) and the multiple involvement(5.8%) in order.
b. Of 123 cases involving the extremities, the most frequent bone involved the femur(55. 3%) and the tibia(24. 4%, the humorous(10. 6%) in order
c. Of 126 lesions on the limb bones, the most frequent site was metaphysis (64.3%.) and diaphysis(20.6%), epiphysis(15.1%) in order.
d. In long bone they most frequently developed around the knee joint. Involvement of the distal part of the femur and the proximal part of the tibia was more frequent by 2.6 times(57:22) than that on the proximal part of the femur and the distal part of the tibia, while on the humerus, entire cases(12 cases) involved the proximal part.
e. In the involvement on phalanges, the distal part was most frequently in. volved(69.2%).
7. In the primary foci of 27 cases of metastatic bone tumor, the breast(4.8 °o) was most frequent in female, the prostate gland and the liver (3 cases respectively) were in male, but we failed to determine the primary foci in 9 cases(33.3%).
8. Complications during hospitalization were pathological fracture(8.8%), joint stiffness(6.4%), metastasis(5.8%) etc. in order.
9. Surgical interventions were carried out in 84 cases out of 171 consecutive cases; amputation in 27 cases, bone graft after curettage in 22 cases, cure-ttage in 5 cases, transference to the other hospital for radiotherapy in 3 cases and chemotherapy in I case, while 83 patients refused or abandoned any definite treatment.
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