摘要
骨肿瘤涉及骨科学和肿瘤学两个学科的内容,从某种意义上来说,属于交叉学科。骨肿瘤患者多由骨科医生治疗,而骨科医生最容易犯的错误就是忽略骨肿瘤的肿瘤学本质,过分追求骨科学的重建。既然是肿瘤,首先需要强调的就是分期,然后才是基于分期的安全有效的保肢治疗,现就这两方面进行述评。
出处
《中国骨肿瘤骨病》
2010年第2期112-115,共4页
Chinse Journal Of Bone Tumor And Bone Disease
参考文献18
-
1Enneking WF,SS Spanier,MA Goodman.A system for the surgical staging of musculoskeletal sarcoma.Clin Orthop Relat Res,1980,(153):106-120.
-
2Greene FI,Page DL,E ID.Cancer staging manual.6th ed.Springer-Verlag,2002:211-228.
-
3Szendroi M,Papai Z,Koos R,et al.Limb-saving surgery,survival,and prognostic factors for osteosarcoma:the Hungarian experience.J Surg Oncol,2000,73:87-94.
-
4de Alava E,Antonescu CR,Panizo A,et al.Prognostic impact of P53 status in Ewing sarcoma.Cancer,2000,89:783-792.
-
5Cotterill SJ,Ahrens S,Paulussen M,et al.Prognostic factors in Ewing's tumor of bone:analysis of 975 patients from the European Intergroup Cooperative Ewing's Sarcoma Study Group.J Clin Oncol,2000,18:3108-3114.
-
6Bacci G,Bertoni F,Longhi A,et al.Neoadjuvant chemotherapy for high-grade central osteosarcoma of the extremity.Histologic response to preoperative chemotherapy correlates with histologic subtype of the tumor.Cancer,2003,97:3068-3075.
-
7Bielack SS,Kempf-Bielack B,Delling G,et al.Prognostic factors in high-grade osteosarcoma of the extremities or trunk:an analysis of 1,702 patients treated on neoadjuvant cooperative osteosarcoma study group protocols.J Clin Oncol,2002,20:776-790.
-
8Mankin HJ,Homicek FJ,Rosenberg AE,et al.Survival data for 648 patients with osteosarcoma treated at one institution.Clin Orthop Relat Res,2004,(429):286-291.
-
9Wunder JS,Bull SB,Aneliunas V,et al.MDR1 gene expression and outcome in osteosarcoma:a prospective,multicenter study.J Clin Oncol,2000,18:2685-2694.
-
10Fiorenza F,Abudu A,Grimer RJ,et al.Risk factors for survival and local control in chondrosarcoma of bone.J Bone Joint Surg Br,2002,84:93-99.
二级参考文献7
-
1Batsakis JG. Surgical excision margins: pathologist' s perspective. Adv Anat Pathol, 1999, 6:140-148.
-
2Damron TA, Pritchard DJ. Current combined treatment of high- grade osteosarcomas. Oncology, 1995, 9:327-343.
-
3Virkus WW, Marshall D, Enneking WF, et al. The effect of contaminated surgical margins revisited. Clin Orthop Relat Res, 2002 ( 397 ) : 89 -94
-
4Enneking WF, Spanier SS, Goodman MA. A system for the surgical staging of musculoskeletal sarcoma. 1980. Clin Orthop Relat Res. 2003 (415) :4-18.
-
5Matsumoto S, Kawaguchi N, Manabe J, et al. Surgical treatment for bone and soft tissue sarcoma . Gan To Kagaku Ryoho, 2004, 31:1314-1318.
-
6Kawaguchi N, Ahmed AR, Matsumoto S, et al. The concept of curative margin in surgery for bone and soft tissue sarcoma. Clin Orthop Relat Res, 2004 (419) : 165-172.
-
7Wolf RE, Enneking WF. The staging and surgery of musculoskeletal neoplasms. Orthop Clin North Am, 1996, 27: 473-481.
共引文献26
-
1牛晓辉.知难而进 进一步提高骨盆恶性肿瘤的外科治疗水平[J].中华外科杂志,2008,46(12):884-885. 被引量:1
-
2单华超,丁易,李远,牛晓辉.骨软骨瘤复发因素的分析[J].中国骨肿瘤骨病,2008,7(6):350-353. 被引量:17
-
3王涛,牛晓辉.桡骨远端肿瘤切除后的重建方式[J].中国骨肿瘤骨病,2009,8(6):368-371. 被引量:4
-
4李远,牛晓辉.肿瘤型人工膝关节置换治疗儿童股骨远端骨肉瘤[J].中国骨肿瘤骨病,2010,9(2):116-121. 被引量:5
-
5王涛,张清,牛晓辉,鱼锋,李远,赵海涛,刘巍峰,玛珂,杨发军.计算机导航辅助骨样骨瘤的外科治疗[J].中华外科杂志,2011,49(9):808-811. 被引量:6
-
6刘巍峰,牛晓辉,张清,郝林,丁易,王涛,李远,马珂,赵海涛.CT与Iso-C融合技术在计算机导航辅助骨肿瘤手术中的应用[J].山东医药,2011,51(40):9-11. 被引量:1
-
7王涛,张清,牛晓辉.计算机导航技术在复杂累及股骨颈骨软骨瘤切除中的应用[J].山东医药,2011,51(40):12-13. 被引量:2
-
8鱼锋,张清,郝林,丁易,孙扬,牛晓辉.射频消融在骨肿瘤切开手术中的应用[J].山东医药,2011,51(40):28-29. 被引量:2
-
9杨发军,丁易,牛晓辉,邓志平.肩胛带巨大软组织肉瘤的外科治疗[J].中华外科杂志,2011,49(11):986-990. 被引量:1
-
10金韬,郝林,李远,牛晓辉.人工间置型假体置换治疗长骨骨干恶性肿瘤(附4例报告)[J].中国骨科临床与基础研究杂志,2011,3(4):267-271. 被引量:4
同被引文献19
-
1李建民,杨强,杨志平,丰荣杰,迟增德,李昕.骨肉瘤髓腔内侵袭范围MRI测量与确定合理截骨平面的相关研究[J].中国矫形外科杂志,2005,13(23):1792-1794. 被引量:40
-
2Baunin C, Schmidt G, Baumstarck K, et al. Value of diffusion - weigh- ted images in differentiating mid - course responders to chemotherapy for osteosarcoma compared to the histological response: preliminary results [ J]. Skeletal Radiol, 2012,41 (9) :1141 - 1149.
-
3Iwasawa T, Tanaka Y, Aida N, et al. Microscopic intraosseous exten- sion of osteosarcoma: assessment on dymamic contra - enhanced MRI [J]. Skeletal Radiol, 1997,26(4) :214-221.
-
4Hameed S, Vijayan S, Naik M, et al. Muhicentric osteosarcoma[ J]. Singapore Med J, 2012,53 (10) :214 - 217.
-
5Mebarki M, Medjabedi A, Menemani A, et al. Osteosarcoma pulmona- ry metastasis mimicking abnormal skeletal uptake in bone scan : utility of SPECT/CT[ J]. Clin Nucl Med, 2013,38 (10) :e392 -394.
-
6Rana KA, Meyer J, Ibrabim S, et al. The role of imaging of malignant bone tumors in children and young adults [ J ]. Curt Prabl Cancer, 2013,37(4) :181 - 191.
-
7Bakri D, Bar - Shalom R, Ben Arush MW, et al. Value of routine bone scans in patients with bone sarcomas before local treatment[ J]. J Pedi- atr Hematol Oncol, 2011,33(2) :103 -106.
-
8Uhl M, Saueressig U, Van Buiren M, et al. Osteosarcoma: pre- liminary results of in vivo assessment of tumor necrosis after chemotherapy with diffusion- and perfusion-weighted magnetic resonance imaging[J]. Invest Radiol, 2006, 41(8): 618-623.
-
9邓志平,李远,杨发军,等.恶性骨肿瘤髓腔MRI长段异常信号的鉴别及意义[C].天津:《中华骨科杂志》编辑部,2008:201-206.
-
10Onikul E, Fletcher BD, Parham DM. Accuracy of MR imaging for estimating intraosseous extent of osteosarcoma [J]i MR, 1996, 167(5): 1211-1215.
引证文献2
-
1冯瑾,杨芳,邓志平,张连娜,程晓光.骨显像半定量分析法评估骨肉瘤侵袭范围初探[J].临床和实验医学杂志,2014,13(6):439-442. 被引量:2
-
2冯瑾,娄路馨,张连娜,杨芳,程晓光.骨显像半定量法对骨肉瘤侵袭范围的评估及其与MRI的对照研究[J].中国临床医学影像杂志,2015,26(5):349-354. 被引量:1
二级引证文献3
-
1张连娜,冯瑾,陈瑞玲,何海燕,杨芳.遗传性多发性骨软骨瘤病的全身骨扫描特点[J].临床和实验医学杂志,2014,13(13):1111-1114. 被引量:3
-
2陈柯旭,柳柄吉,赵莉,于华.放射性核素SPECT/CT检查在骨肉瘤中的临床应用价值[J].齐鲁医学杂志,2017,32(3):370-373. 被引量:5
-
3冯瑾,张连娜,高璇,陈瑞玲,杨芳.骨纤维异常增殖症全身骨显像影像特征分析[J].标记免疫分析与临床,2021,28(9):1452-1456. 被引量:4
-
1李庆.骨转移瘤的早期诊断研究进展[J].肿瘤基础与临床,2011,24(2):180-182. 被引量:4
-
2高月彩.原发恶性骨肿瘤侵犯骨骺及骺板的影像学诊断[J].医用放射技术杂志,2005(1):62-63.
-
3彭自权.以骨折为主要临床表现的多发性骨髓瘤12例分析[J].四川医学,2002,23(11):1171-1172.
-
4骨转移瘤外科治疗专家共识[J].中国医学前沿杂志(电子版),2010,2(2):65-73. 被引量:5
-
5牛晓辉.骨肿瘤外科分期的肿瘤学意义[J].山东医药,2009,49(8):1-2. 被引量:1
-
6范清宇.骨肿瘤诊治过程中的若干问题[J].中华骨科杂志,2008,28(10):865-867. 被引量:2
-
7洪孝民,卢慎.老年恶性骨肿瘤54例误诊原因分析[J].中国民康医学,1995,10(1):19-20. 被引量:1
-
8高龄肠癌患者适合做手术吗?[J].保健与生活,2015,0(3):78-78.
-
9第七届全国骨肿瘤学术会议通知[J].中国骨肿瘤骨病,2004,3(5):309-309.
-
10朱建民,金宗达.骨科常用植入物的致癌问题[J].癌症,1993,12(2):176-178.