Acta Ortopédica Mexicana

Álvarez LA, García LY
Cartilaginous bone tumors in children: A twenty-year epidemiological report from our hospital
Acta Ortop Mex 2005; 19 (s1)

Language: Inglés
References: 22
Page: 47-50
PDF: 61.07 Kb.

[Fulltext - PDF]

ABSTRACT

Introduction. Cartilaginous bone tumors are the most common tumors in children. Their clinical presentation and manifestations vary depending on the type and stage of the tumor, based on Enneking’s classification. Material and Methods. A descriptive cross-sectional study was conducted in 236 patients diagnosed and surgically treated for cartilaginous bone tumors in our hospital during the period between 1982 and 2002. Results. Male patients prevailed over female patients, with 60.5% of cases. The highest incidence occurred in the 11-15 years age group, which included 147 patients and accounted for 62.2% of the series. The most frequent type of tumor was osteochondroma, with 177 patients, accounting for 75%. Symptoms included pain and swelling, found in 79.6% and 68.6% of patients, respectively. The metaphyseal areas around the knee had the highest involvement rate, with over 40% of patients. Active benign tumors under the Enneking classification prevailed. Resection was the most widely used surgical treatment. Discussion. Our results match those reported in the literature.


Key words: bone tumor, children, epidemiological study.


REFERENCES

  1. DiCaprio MR, Friedlaender GE: Malignant bone tumors: limb sparing versus amputation. J Am Acad Orthop Surg 2003; 11(1): 25-37.

  2. Babinet A, Pinieux G, Tomeno B, Forest M, Anact P: Intracortical chondrosarcoma: A case report. J Bone Joint Surg Am 2003; 85(3): 533-535.

  3. Carnesale PG: General principles of tumors. In: Canale ST. Campbell’s Operative orthopaedics, ed 9. ST Louis, Mosby, 1998: 643-675.

  4. Florenza F, Abudu A, Grimer RJ, Carter SR, Tillman RM, Ayoub K, Mangham DC, Davies AM: Risk factors for survival and local control in chondrosarcoma of bone. J Bone Joint Surg Br 2002; 84(1): 93-99.

  5. Richards BS: OKU. Pediatrics. Rosemont. Am Acad Orthop Surg 1996: 55-64.

  6. Marco RA, Gitelis S, Brebach GT, Healey JH: Cartilage tumors: evaluation and treatment. J Am Acad Orthop Surg 2000; 8(5): 292-304.

  7. Chin KR, Kharrazi FD, Miller BS, Mankin HJ, Gebhardt MC: Osteochondroma of the distal aspect of the tibia and fibula. Natural history and treatment. J Bone Joint Surg Am 2000; 82(9): 1269-1278.

  8. Dorfman AD, Czerniak B: Bone tumors. St Louis, Mosby, 1998: 253-440.

  9. Adler CP, Kozlowskik: Primary bone tumors and tumorous conditions in children. London, Springer Verlag, 1992: 11-31.

  10. Murphey MD, Flemming DJ, Boyea SR, Bojescul JA, Sweet DE, Temple HT: Enchondroma versus chondrosarcoma in the appendicular skeleton: differentiating features. Radiographics 1998; 18(1): 1213-1237.

  11. Soderstrom M, Ekfors TO, Bohling TO, Teppo LH, Vuorio EI, Aro HT: No improvement in the overall survival of 194 patients with chondrosarcoma in Finland in 1971-1990. Acta Orthop Scand 2003; 74(3): 344-350.

  12. Ogawa K, Yoshida AUM: Symptomatic osteochondroma of the clavicle. A report of two cases. J Bone Joint Surg Am 1999; 81(3): 404-408.

  13. Schajovicz FA: Tumors and tumorlike lesions of bone and joint. New York, Springer Verlag 1981: 417-418.

  14. Weber KL, Gebhardt MC: What’s new in musculoskeletal oncology. J Bone Joint Surg Am 2003; 85A(4): 761-767.

  15. Wirganowicz PZ, Watts HG: Surgical risk for elective excision of benign exostoses. J Pediatr Orthop 1997; 17(4): 455-459.

  16. Unni KK: Dahlin’s bone tumors. General aspects and data on 11,087 cases, ed 5. Philadelphia, Lippincott-Raven 1996: 11-108.

  17. Temple HT, Clohisy DR: Musculoskeletal Oncology. In: Koval KJ. Orthopaedic knowledge Update 7. Am Acad Orthop Surg 2002: 155-22.

  18. López AA, Rodriguez ER, Olazabal LS: Osteocondroma. Su comportamiento en el período 1987-1997. Rev Archivo Médico de Camagüey 1999; 3(3): disponible en: http:www.cmw.sld.culamcl

  19. Aboulafia AJ, Kennon RE, Jeliken JE: Benign bone tumors of childhood. J Am Acad Orthop Surg 1999; 7(6): 377-388.

  20. López AA, Morote CC, Lorenzo YG: Tumores y lesiones seudotumorales óseas en el niño. Estudio de 10 años. Rev Archivo Médico de Camagüey 2003; 7(1): disponible en: http: 11 www.cmw.sld.culamcl

  21. Staheli LT: Practice of pediatric orthopaedics. Philadelphia, Lippincott. Williams & Wilkins 2001: 305-322.

  22. Wolf RE, Enneking WF: The staging and surgery of the musculoskeletal neoplasm. Clin Orthop 1996; 27(3): 473-481.