摘要
目的:探讨手部内生性软骨瘤的诊断、病理学特点及治疗方法。方法:对1999年7月至2007年8月经治的38例手部内生性软骨瘤的临床和病理资料进行分析总结。结果:29例获随访时间1a～6a,平均时间4a,其中5例出现复发,2例为骨巨细胞瘤误诊,均予再次手术切除;2例内生性软骨瘤出现恶性变化;其余病例均恢复满意。结论:内生性软骨瘤可见高分化和成熟的软骨组织可作为组织学诊断依据;恶性倾向的内生性软骨瘤应与软骨肉瘤进行鉴别;应用临床、影像学和病理学三方面的方法可提高诊断的准确性和防止误诊。手术局部切除或病灶刮除加植骨术为其主要治疗方法。
Objective To probe the diagnosis and treatment differential method for enchondromatosis, Methods 35 patients with enchondromatosis admitted from 1999 to 2007 were reviewed from several aspects such as clinic pathological analysis and routine pathological observation. Results 29 patients were followed-up, Enchondromatosis may present stori form and chondroid like changes besides the classical histological feature. Conclusion Histopathologically enchondromatosis are characterized by interlacing trabeculae of chondroid. It must be differentiate from giant cell tumor and osteosarcoma, which had special clinical and pathological significance. Enchondromatosis is treated by surgery usually involving thorough curettage or local excision. Local recurrence may be seen, especially with more conservative surgical approaches and malignant transformation is a rare complication.
出处
《实用医技杂志》
2008年第3期273-275,共3页
Journal of Practical Medical Techniques
