34-200
El quiste óseo aneurismático en niños y adolescentes.
Aneurysmal bone cyst in children and adolescents.
J.E. MARTÍNEZ GIMÉNEZ, J.A. PAGÁN CONESA. J.E. SALINAS GILABERT, M. ALONSO DÍAZ-MARTA. SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. HOSPITAL GENERAL UNIVERSITARIO DE-ALICANTE
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
From 1981 to 1996 twelve patients were treated
in our orthopaedic department with the diagnosis of
Aneurismal Bone Cyst (ABC). This pathologic and clinical
entity has an unknown etiology that in the majority of cases it
can't be elucidated. The treatment was: curettage and bone
graft in seven cases; en bloc excision in three cases and
expectant in two. Surgical treatment results were satisfactory
en 75% of cases, with 25% of local recurrences that took place
in younger patients with more aggressive cysts. Mean followup
was four years (range: 1-8). In this study we make a comparison
with other methods of treatment reported like intratumoral
criotherapy and selective arterial embolization. We
find this methods of relative utility due to their high level of
orthopaedist specialization and precise selection of cases. The
radiotherapy has restricted application to cases of unresectable
tumors.
in our orthopaedic department with the diagnosis of
Aneurismal Bone Cyst (ABC). This pathologic and clinical
entity has an unknown etiology that in the majority of cases it
can't be elucidated. The treatment was: curettage and bone
graft in seven cases; en bloc excision in three cases and
expectant in two. Surgical treatment results were satisfactory
en 75% of cases, with 25% of local recurrences that took place
in younger patients with more aggressive cysts. Mean followup
was four years (range: 1-8). In this study we make a comparison
with other methods of treatment reported like intratumoral
criotherapy and selective arterial embolization. We
find this methods of relative utility due to their high level of
orthopaedist specialization and precise selection of cases. The
radiotherapy has restricted application to cases of unresectable
tumors.
Palabras clave (ES):
quirúrgico
Resección
Recidiva
Dismetria
Tumor
Iliaco
Tibia
Fémur
Óseo
Injerto
Legrado
Adolescente
Niño
Aneurismático
Quiste
Tratamiento
Resumen (EN)
From 1981 to 1996 twelve patients were treated
in our orthopaedic department with the diagnosis of
Aneurismal Bone Cyst (ABC). This pathologic and clinical
entity has an unknown etiology that in the majority of cases it
can't be elucidated. The treatment was: curettage and bone
graft in seven cases; en bloc excision in three cases and
expectant in two. Surgical treatment results were satisfactory
en 75% of cases, with 25% of local recurrences that took place
in younger patients with more aggressive cysts. Mean followup
was four years (range: 1-8). In this study we make a comparison
with other methods of treatment reported like intratumoral
criotherapy and selective arterial embolization. We
find this methods of relative utility due to their high level of
orthopaedist specialization and precise selection of cases. The
radiotherapy has restricted application to cases of unresectable
tumors.
in our orthopaedic department with the diagnosis of
Aneurismal Bone Cyst (ABC). This pathologic and clinical
entity has an unknown etiology that in the majority of cases it
can't be elucidated. The treatment was: curettage and bone
graft in seven cases; en bloc excision in three cases and
expectant in two. Surgical treatment results were satisfactory
en 75% of cases, with 25% of local recurrences that took place
in younger patients with more aggressive cysts. Mean followup
was four years (range: 1-8). In this study we make a comparison
with other methods of treatment reported like intratumoral
criotherapy and selective arterial embolization. We
find this methods of relative utility due to their high level of
orthopaedist specialization and precise selection of cases. The
radiotherapy has restricted application to cases of unresectable
tumors.
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