RESUMO
BACKGROUND: Intralesional curettage and adjuvant versus wide en bloc excision (WEE) as the best treatment method of giant cell tumor (GCT) of distal radius with limited soft tissue extension is a controversial topic. METHODS: Prospectively, 13 patients who had GCT of distal radius with perforation of either volar or dorsal cortex of the bone and soft tissue extension which was confined to one plane were enrolled in the study. Six patients treated with ICC and seven cases cured by WEE technique and proximal fibular arthroplasty. The results were evaluated based on recurrence, range of motion of the wrist joint, rotation of the forearm, grip and pinch power. RESULTS: The mean age of the patients treated with ICC and WEE techniques were 32.7 (range: 23-43) and 34.5 (range: 28-44), respectively. Mean follow-up period was 72 months (range: 28-148). Local recurrence was seen in 4 of 6 patients (66.7%) underwent ICC technique but in none of the 7 subjects treated with WEE technique (P value = 0.021). The overall range of flexion/extension and supination/pronation in the WEE group were 83% and 92% of the ICC group, respectively. Both of pinch and grip power were 14% less in the WEE group compared to the ICC group. CONCLUSIONS: In GCT lesion of distal radius even with limited soft tissue extension, WEE and proximal fibular arthroplasty may be a more reasonable suggestion when the patient seeks a one-shot surgery.
Assuntos
Artroplastia/métodos , Cimentos Ósseos/uso terapêutico , Neoplasias Ósseas/terapia , Curetagem/métodos , Tumor de Células Gigantes do Osso/terapia , Adulto , Neoplasias Ósseas/diagnóstico por imagem , Neoplasias Ósseas/patologia , Cimentação/métodos , Estudos de Coortes , Terapia Combinada , Feminino , Seguimentos , Tumor de Células Gigantes do Osso/diagnóstico por imagem , Tumor de Células Gigantes do Osso/patologia , Humanos , Masculino , Invasividade Neoplásica/patologia , Recidiva Local de Neoplasia/patologia , Recidiva Local de Neoplasia/terapia , Estadiamento de Neoplasias , Estudos Prospectivos , Rádio (Anatomia)/diagnóstico por imagem , Rádio (Anatomia)/patologia , Medição de Risco , Resultado do Tratamento , Adulto JovemAssuntos
Dor Abdominal/fisiopatologia , Apendicite/diagnóstico , Apendicite/cirurgia , Exame Físico/métodos , Adolescente , Adulto , Apendicectomia/métodos , Apendicectomia/estatística & dados numéricos , Criança , Pré-Escolar , Doença Crônica , Estudos de Coortes , Testes Diagnósticos de Rotina , Feminino , Seguimentos , Humanos , Irã (Geográfico) , Masculino , Programas de Rastreamento , Estudos Prospectivos , Recidiva , Medição de Risco , Resultado do Tratamento , Adulto JovemRESUMO
We report on a 55-year-old man with effort dyspnoea that transesophageal echocardiography disclosed was due to a mass originating from the chorda of the tricuspid valve. Histological examination revealed the mass to be an organized thrombus without tumour components. This case illustrates the unusual presentation of a thrombus confined to the tricuspid chordae mimicking a chordae tumour.
