摘要
目的 :分析手部骨关节肿瘤及瘤样病变的发病规律。方法 :对 1970～ 1999年 4月间经我院病理证实的 2 2 6例手部骨关节肿瘤及瘤样病变进行回顾性分析。结果 :良性肿瘤 194例 ,恶性 18例 ,瘤样病变 14例 ,良恶性之比为 11.6∶1,男∶女 =1.46∶1。好发年龄为 11～ 3 0岁。在良性肿瘤中 ,软骨瘤 12 4例 (占 63 .9% ) ,骨软骨瘤 3 3例 (占 17.0 % ) ,滑膜瘤 12例 (占 6.2 % ) ,骨巨细胞瘤 5例 (占 2 .6% ) ,血管球瘤 4例 (占 2 .1% )。恶性肿瘤发病率较低 ,其中转移癌占5 0 % ,原发性恶性肿瘤相对少见。瘤样病变以孤立性骨囊肿为多 (占 5 0 % )。结论 :( 1)手部骨关节肿瘤及瘤样病变好发于 11～ 3 0岁年龄组的人群 ,男性发病率高于女性 ,其中良性肿瘤占大多数 ,恶性肿瘤中转移癌占 5 0 %。 ( 2 )手部各种肿瘤的分布似有特点 ,软骨瘤好发于食指和中指 ,骨巨细胞瘤好发于掌骨 ,转移癌以末节指骨多见 ,且均发生于 5 0岁以上的患者。
Objective: To investigate the regularity of tumors and tumor like Lesions of the bones and joints in the hand. Methods: A retrospective study was done on 226 cases of tumors and tumor like Lesions of bones and joints in the hand encountered from 1970 to April in 1999. Results: There were 194 benign tumors(85.8%), malignant tumors 18(8.0%) and tumor like lesions 14(6.2%). The ratio between benign and malignant lesions was 11.6∶1, and the ratio between male and female was 1.46∶1. The most frequent age from 11 to 30 years old. In benign tumors of bones and joints, chondrema accounted for 63.9%, osteochondroma 17.0%, synovioma 6.2%, giant cell tumor of bone 2.6%, angioneuromyoma 2.1%. In malignant tumors, metastatic neoplasms accounted for 50.0%. The most common tumor like lesion was bone cyst. Conclusion: The tumors and tumor like Lesions of bones and joints in the hand occured most frequently in the age from 11～30 year old. The incidence in male was higher than that in female. Benign tumors occured more commonly than malignant tumors, metastatic neoplasms accounted for 50.0%, and the age all after 50 years old. The most common sites of chondroma were located in the forefingers and middle fingers(58.5%), and giant cell tumor in the metacarpal bones, metastatic tumors in the distal phalanges.
出处
《中国矫形外科杂志》
CAS
CSCD
2000年第8期742-744,共3页
Orthopedic Journal of China
关键词
手部
关节
骨肿瘤
肿瘤转移
病理
Bone neoplasms Neoplasm metastasis Hand Joints
