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Dirsek Çevresi Malign Tümörlerde Endoprotetik Rekonstrüksiyonun Klinik Sonuçları
2020
Journal:  
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Author:  
Abstract:

Amaç: Dirsek çevresindeki malign tümör nedeniyle tümör rezeksiyonu ve endoprotetik rekonstrüksiyon yapılan hastaların klinik sonuçlarının sunulması amaçlanmıştır. Yöntemler: Kliniğimizde 2011-2018 yılları arasında dirsek çevresinde malign tümör nedeniyle tümör rezeksiyonu ve endoprotetik rekonstrüksiyon yapılan 14 hasta çalışmaya dahil edildi. Hastaların 4'ü primer tümör (1 fibromiksoid sarkom, 1 leimyosarkom, 1 multipl miyelom ve 1 ewing sarkom) iken 10'u uzak organ metastazı (4 meme kanseri, 3 akciğer kanseri, 1 mide kanseri, 1 renal hücre kanseri ve 1 tiroid) kanser) idi. Musculoskeletal Tumor Society (MSTS) skoru ve Mayo dirsek performans skoru (MEPS) ve sağkalımı değerlendirildi. Bulgular: Hastaların minimum takip süresi 7 ay, maksimum takip süresi 55 aydı. Hastaların ortalama MEPS skoru 67.5 ± 12.0 (aralık, 45-90) ve MSTS skorunun ortalaması 19.4 ± 2.3 (aralık, 16-24) idi. 3 hastada takipte nüks, 7 hastada takipte exitus görüldü. Bu çalışmada hastaların medyan sağkalım süresi 44 aydı. 1 yıllık sağkalım oranı% 70.1 iken 3 yıllık sağkalım oranı% 54.5 idi. Sonuç: Dirsek çevresindeki malign tümör nedeniyle tümör rezeksiyonu ve endoprotetik rekonstrüksiyon yapılan hastalarda ağrı ve fonksiyonel sonuçlar tatmin edicidir. Gelecekte daha geniş hasta serileri ile çalışmalara ihtiyaç vardır.

Keywords:

Clinical Results of Endoprotective Reconstruction in Malignant Tumors
2020
Author:  
Abstract:

Purpose: It is intended to present the clinical results of patients with tumor resection and endoprotective reconstruction due to malignant tumors around the cortex. Methods: In our clinic, 14 patients were involved in the study of tumor resection and endoprotective reconstruction due to malignant tumor around the rectum between 2011-2018 years. 4 of the patients were primary tumors (1 fibromycoside sarcoma, 1 leymyosarcoma, 1 multiple myelom and 1 ewing sarcoma), while 10 were distant organs metastases (4 breast cancer, 3 lungs cancer, 1 stomach cancer, 1 kidney cell cancer and 1 thyroid) cancer. The Musculoskeletal Tumor Society (MSTS) score and the Mayo bacterial performance score (MEPS) and resilience were evaluated. The patient’s minimum follow-up period was 7 months, the maximum follow-up period was 55 months. The average MEPS score of patients was 67.5 ± 12.0 (December, 45-90) and the average MSTS score was 19.4 ± 2.3 (December, 16-24) There were 3 patients followed by nickel, 7 patients followed by exitus. The patient’s median survival period was 44 months. The 1 year survival rate was 70.1%, while the 3 year survival rate was 54.5%. Result: Pacients with tumor resection and endoprotective reconstruction due to malignant tumors around the cortex are painful and functional results satisfying. We need to work with a larger series of patients in the future.

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Selçuk Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Selçuk Tıp Dergisi