دورية أكاديمية

Primary Bone Tumors of the Spine—Proposal for Treatment Based on a Single Centre Experience

التفاصيل البيبلوغرافية
العنوان: Primary Bone Tumors of the Spine—Proposal for Treatment Based on a Single Centre Experience
المؤلفون: Nicole Lange, Ann-Kathrin Jörger, Yu-Mi Ryang, Friederike Liesche-Starnecker, Jens Gempt, Bernhard Meyer
المصدر: Diagnostics; Volume 12; Issue 9; Pages: 2264
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2022
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: primary bone tumor, outcomes, treatment strategy
الوصف: This study reports a large single-center series of primary bone tumors of the spine (PBTs). We aimed to review the concepts for management, as this kind of tumor represents a very rare entity, and also propose a new treatment algorithm. Retrospective analysis revealed 92 patients receiving surgery for PBTs from 2007 to 2019 at our center. They were analyzed based on surgical management and the course of the disease. A total of 145 surgical procedures were performed (50 cervical, 46 thoracic, 28 lumbar, and 21 sacral). Complete tumor resection was achieved in 65%, of which 22% showed tumor recurrence during follow-up (mean time to recurrence 334 days). The five-year mortality rate was significantly lower after complete resection (3% versus 25% after subtotal resection). Most of the patients improved in their symptoms through surgery. Regarding the tumor entity, the most common PBTs were vertebral hemangiomas (20%), osteoid osteomas (15%), and chordomas (16%). The Enneking graduation system showed a good correlation with the risk of recurrence and mortality. Complete resection in PBTs increased survival rates and remains the method of choice. Thus, quality of life—especially with a higher extent of resection—should be considered.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
العلاقة: Pathology and Molecular Diagnostics; https://dx.doi.org/10.3390/diagnostics12092264Test
DOI: 10.3390/diagnostics12092264
الإتاحة: https://doi.org/10.3390/diagnostics12092264Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.A49C5E4
قاعدة البيانات: BASE