研究动态
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肩带骨和软组织肿瘤的评估。

Evaluation of Bone and Soft Tissue Tumors of the Shoulder Girdle.

发表日期:2023 Sep
作者: İsmail Büyükceran, Şafak Aydın Şimşek, Ercan Bayar, Tolgahan Cengiz, Hüseyin Sina Coşkun, Nevzat Dabak
来源: Bone & Joint Journal

摘要:

肩带包括肩胛骨、锁骨、肱骨近端以及这些结构周围的软组织。骨和软组织肿瘤在下肢比在上肢更常见。然而,肩部是继髋骨盆和膝部之后第三个最常见的原发肿瘤部位。这项研究对肩部及其附近出现疼痛和肿胀的患者进行了回顾性检查。该评估是由骨与软组织肿瘤委员会采用多学科方法进行的。该研究包括 2004 年至 2021 年间诊断出肩带肿瘤病变的 224 名患者。在这些患者中,22 名被评估为患有肿瘤以外的病变,良性病变105例(51.98%),恶性病变97例。最常见的良性病变是囊性骨病变 (30) 和软组织脂肪瘤 (10)。恶性病变的主要形式是转移性肿瘤 (49)。肩带的病理可能通过疼痛、可触及的肿胀、病理性骨折来表现,或者可能通过放射成像偶然发现。值得注意的是,疼痛、高钙血症和病理性骨折是重要的指标,特别是在骨转移的情况下,当涉及长骨时,骨转移通常会导致高度致命的病程。肌肉骨骼系统是继肺和肝之后第三个最常见的转移部位。因此,应特别注意肩部及其周围区域的转移问题。版权所有 © 2023,Büyükceran 等人。
The shoulder girdle comprises the scapula, clavicle, proximal humerus, and the soft tissues surrounding these structures. Bone and soft tissue tumors are notably more prevalent in the lower extremity than in the upper extremity. However, the shoulder ranks as the third most common site for primary tumors, following the hip-pelvis and knee.This study conducted a retrospective examination of patients who presented with pain and swelling in the shoulder and its vicinity. The evaluation was carried out using a multidisciplinary approach by the Bone and Soft Tissue Tumors Council.The study included 224 patients diagnosed with a tumoral lesion in the shoulder girdle between 2004 and 2021. Among these patients, 22 were assessed to have lesions other than tumors, while 105 (51.98%) had benign lesions, and 97 had malignant lesions. The most prevalent benign lesions were cystic bone lesions (30) and soft tissue lipomas (10). The primary form of malignant lesion was metastatic tumors (49).Pathologies in the shoulder girdle may manifest through pain, palpable swelling, pathological fractures, or may be incidentally detected via radiological imaging. Notably, pain, hypercalcemia, and pathological fractures are significant indicators, especially in cases of bone metastases, which often follow a highly fatal course when involving long bones. The musculoskeletal system is the third most common site for metastasis, following the lungs and liver. Hence, particular attention should be directed toward metastatic concerns in the shoulder and its surrounding area.Copyright © 2023, Büyükceran et al.